The purpose of the study was to investigate the factors contributing to domestic violence in Koforidua in the New Juaben Municipality of Ghana. The population of the study consisted of 340 men selected from four communities in Koforidua. Purposive sampling technique 4 communities. Using the Krejcie and Morgan table, a sample size of 340 men were selected which is appropriate for a population of 3428 with an alpha level of 5 percent in a quantitative study. The selection was based on the fact that these communities registered the highest cases of domestic violence in the Municipality. The main instrument used for the study was structured questionnaire. Data analysed using SPSS (Statistical Product for Service Solution, version 20). Statistical tools such as frequency distribution tables, percentages, charts and cross tabulation was used. The frequency tables were used to give the summary of the data for easy understanding and comparison. The study revealed that men perceive that factors like show of power, exposure to domestic violence, poor communication in marriage, unemployment and poverty, control of women through discipline and women’s low academic achievement are the triggers of domestic violence in a marital relationship. The study recommended that effort ought to be put in place to unravel the mystery surrounding male supremacy over women at both institutional and community levels by DOVVSU, Gender Advocacy Groups and other institutions to benefit humanity and society at large.

May-Thurner Syndrome, left iliac vein compression by the right iliac artery, is a congenital permissive lesion that requires an additional insult prior to the onset of symptoms. We present a case of a 31-year-old gravida 1 para 0 at 28.6 weeks who presented to the emergency room with a 2-month history of progressive lower left leg swelling since 21.2 weeks’ gestation. The patient endorsed incidence of domestic violence at 17 weeks’ gestation. The patient had a twin sister who was also pregnant and had not experienced these symptoms. Physical exam revealed 3+ pitting edema in the left lower extremity from ankle to groin. There was left calf tenderness with negative Homan’s sign bilaterally. Overall finding on magnetic resonance angiography revealed severe compression of the upper left common iliac vein and lower inferior vena cava by gravid uterus. Conservative management and anticoagulation is instrumental in preventing veno-thromboembolic events in pregnancies complicated by MTS.