Variant May-Thurner syndrome: Compression of the left common iliac vein by the ipsilateral internal iliac artery

May Thurner syndrome (MTS) is an anatomic variant that can present as acute or chronic deep vein thrombosis. Although it is classically reported in young and middle-aged women, it is also seen in both young and older men. Multiple cases of anatomic variations of MTS have been described. We present an uncommon case of variant MTS, including diagnostic imaging and approach to treatment.