Venous Insufficiency
Left Leg DVT Secondary to IVCS
30-year-old female, on oral contraceptives, with severe left leg swelling after a long car ride. Ultrasound showed left iliofemoral deep venous thrombosis (DVT). The patient was started on anticoagulation. 5 days later, the patient still had severe swelling and pain. Pharmacomechanical thrombolysis using TPA and the Angiojet was performed with removal of the bulk of…
Read MorePost Thrombotic IVCS in a Triathlete
36-year-old female with a left lower extremity iliofemoral deep venous thrombosis (DVT) and pulmonary embolism (PE) 9 years prior. Increasing problems with left leg venous claudication with exercise. Symptoms limiting the patient’s ability to be active. MR venography showed occlusion of the left iliac venous system typical of May Thurner syndrome or iliac vein compression syndrome…
Read MoreUlceration due to External Iliac Vein Compression
A 65-year-old male presented with a right lower extremity venous ulcer. During workup, the patient was found to have extensive incompetence of the superficial and deep venous systems. This prompted evaluation for venous outflow obstruction. CT Venography showed compression of the proximal right external iliac vein at the right common iliac artery bifurcation between the external…
Read MoreVenous, Arterial, or Mixed Ankle Ulceration
86-year-old male with left ankle ulceration. Recurrent ulceration at the left ankle over the last 6 years. The current ulcer had been present for over 5 months. Local wound care only. No investigation into the cause of the ulcer. Patient had symptoms of rest pain. Venous ultrasound showed superficial venous incompetence. Arterial testing showed severe…
Read MoreNon-Healing Ulcer After Skin Biopsy
A 55-year-old female with ulceration after a skin lesion was removed from the posterior calf. Lesion turned out to be a basal carcinoma. Seven weeks after the surgery, the patient had a large area of ulceration with copious drainage of fluid. The patient returned to the physician that did the procedure was told to continue…
Read MoreDyspareunia and Dysuria
A 36-year-old female with typical symptoms of pelvic venous insufficiency. Primary complaints of pelvic heaviness, painful intercourse, and urinary frequency. Transvaginal ultrasound demonstrated left ovarian vein incompetence with extensive pelvic varicosities. Large varicose veins were found around the base of the bladder consistent with the patient’s symptoms of urinary frequency. Treatment with foam sclerotherapy and…
Read MoreChronic Iliofemoral DVT in a Young Male
22 year old with severe post thrombotic syndrome 6 months after left leg deep venous thrombosis (DVT). Initial attempt at catheter directed thrombolysis without iliac vein stenting resulted in re-thrombosis. The patient had severe restriction in activity due to venous claudication and he wanted to see if anything could be done. He underwent stenting and…
Read MorePost Thrombotic Ulcer
A 38-year-old female with deep venous thrombosis 14 years ago while on birth control pills. Second DVT shortly after discontinuing anticoagulation. Hematologic workup showed the patient to have Protein S deficiency. The patient suffered from severe post-thrombotic syndrome, eventually resulting in venous ulceration 8 years ago. The patient suffered from a chronic ulcer that eventually…
Read MoreVenous Claudication
Venous claudication occurs when venous drainage from the left is impaired, Diagnosis and treatment are often delayed.
Read MoreVenous Valves on Ultrasound
Valves are one of the key components of normal venous function. There are valves throughout the veins in the body.
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