{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T02:36:16Z","timestamp":1773801376686,"version":"3.50.1"},"reference-count":9,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,11,21]]},"abstract":"<jats:p>Spontaneous retroperitoneal haematoma (SRH) can be a life-threatening emergency presenting with hypovolaemic shock. SRH has been rarely reported with May-Thurner syndrome (MTS) where it occurs due to rupture of the iliac vein or venous collaterals. We report a case of MTS that presented with deep venous thrombosis of the left lower limb complicated by bilateral pulmonary embolism (PE) and a large pelvic haematoma. The simultaneous occurrence of a large pelvic haematoma and PE offered a therapeutic challenge. Successful endovascular management of the case is discussed in this report.<\/jats:p>","DOI":"10.1136\/bcr-2017-222217","type":"journal-article","created":{"date-parts":[[2017,12,1]],"date-time":"2017-12-01T06:55:50Z","timestamp":1512111350000},"page":"bcr-2017-222217","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Endovascular management of a case of spontaneous retroperitoneal haematoma complicated with deep vein thrombosis and pulmonary embolism"],"prefix":"10.1136","volume":"2017","author":[{"given":"Balbir","family":"Singh","sequence":"first","affiliation":[{"name":"Department of Cardiology, Military Hospital (CTC), Pune, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Prashant","family":"Bharadwaj","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Military Hospital (CTC), Pune, Maharashtra, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nitin","family":"Bajaj","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Command Hospital, Udhampur, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4033-8976","authenticated-orcid":false,"given":"Davinder","family":"Chadha","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Command Hospital, Bangalore, Karnataka, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,12,1]]},"reference":[{"key":"2025082700083902000_2017.nov30_2.bcr-2017-222217.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2010.06.102"},{"key":"2025082700083902000_2017.nov30_2.bcr-2017-222217.2","doi-asserted-by":"publisher","DOI":"10.1177\/1358863X14560429"},{"key":"2025082700083902000_2017.nov30_2.bcr-2017-222217.3","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1016\/j.jvsv.2016.03.007","article-title":"May-Thurner syndrome presenting as spontaneous left iliac vein rupture","volume":"4","author":"Hosn","year":"2016","journal-title":"J Vasc Surg Venous Lymphat Disord"},{"key":"2025082700083902000_2017.nov30_2.bcr-2017-222217.4","doi-asserted-by":"crossref","first-page":"1585.e3","DOI":"10.1016\/j.ajem.2017.07.063","article-title":"Spontaneous rupture of the iliac vein","volume":"35","author":"Joseph","year":"2017","journal-title":"Am J Emerg Med"},{"key":"2025082700083902000_2017.nov30_2.bcr-2017-222217.5","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2016\/3183985","article-title":"Diagnosis and management of spontaneous lumbar venous retroperitoneal hematoma in setting of deep venous thrombosis: a case report and algorithm","volume":"2016","author":"Tseng","year":"2016","journal-title":"Case Rep Radiol"},{"key":"2025082700083902000_2017.nov30_2.bcr-2017-222217.6","doi-asserted-by":"crossref","first-page":"62","DOI":"10.5758\/vsi.2015.31.2.62","article-title":"Spontaneous iliac vein rupture","volume":"31","author":"Kim","year":"2015","journal-title":"Vasc Specialist Int"},{"key":"2025082700083902000_2017.nov30_2.bcr-2017-222217.7","doi-asserted-by":"publisher","DOI":"10.1259\/bjr\/69371933"},{"key":"2025082700083902000_2017.nov30_2.bcr-2017-222217.8","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1007\/s12928-012-0122-3","article-title":"Endovascular treatment of iliac vein compression syndrome (May-Thurner)","volume":"28","author":"Budnur","year":"2013","journal-title":"Cardiovasc Interv Ther"},{"key":"2025082700083902000_2017.nov30_2.bcr-2017-222217.9","first-page":"633","article-title":"Deep venous thrombosis: an interventionalist\u2019s approach","volume":"14","author":"Jenkins","year":"2014","journal-title":"Ochsner J"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-222217","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T07:08:49Z","timestamp":1756278529000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-222217"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,12,1]]},"references-count":9,"alternative-id":["10.1136\/bcr-2017-222217"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-222217","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,12,1]]}}}