Barw Barw Medical Journal 2960-1959 2023 03 25 May-Thurner Syndrome as The Presenting Symptoms of Behcet’s Disease: A Rare Case Report 10.58742/bmj.v1i1.17 eng Shorsh A. Mohammed Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq. shorsh.mohammed@gmail.com Fahmi H. Kakamad College of Medicine, University of Sulaimani, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq. fahmi.hussein@univsul.edu.iq Soran H. Tahir College of Medicine, University of Sulaimani, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq. soran.tahir@univsul.edu.iq Marwan N. Hassan Smart Health Tower, Scientific Affairs Department, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq. marwan.nasih12@gmail.com Miran Najmadden Hassan Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq. miran.hassan@gmail.com Berun A. Abdalla Smart Health Tower, Scientific Affairs Department, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq. berun.anwer95@gmail.com Dahat A. Hussein Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq. dahat.abdulla18@gmail.com Sasan M. Ahmed Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq. sasan0751@gmail.com 2023 02 15 Abstract Introduction May-Thurner syndrome as a presenting symptom of Behcet’s disease is rare in the literature. The aim of the current study is to report a rare case of Behcet's disease which has been presented with May-Thurner syndrome. Case presentation A 26-year-old woman presented with left leg pain for a one-year duration. On examination, there were dilated superficial veins and edema in the calf. A computed tomography scan of the pelvis showed a markedly narrowed left common iliac vein which was compressed by the right common iliac artery, suggesting May-Thurner syndrome. After a period of not responding to medications, she had been referred to a rheumatologist. The patient was diagnosed with Behcet's disease. She received immunosuppressant agents and glucocorticoids. The patient's symptoms improved after two months of follow-up. Conclusion May-Thurner syndrome could be an early manifestation of Behcet's disease, which may further complicate the clinical picture of Behcet's disease.