Sapheno-femoral junction incompetence

Case contributed by Dr Kewal Arunkumar Mistry

Presentation

Dilated veins along medial aspect of right thigh and leg with pruritus, skin discoloration and recurrent ulceration over right lower leg.

Patient Data

Age: 30 years
Gender: Male
Modality: Ultrasound

Sapheno-femoral junction is incompetent with reversal of flow on Valsalva manoeuvre. Great saphenous vein is dilated throughout its course. Multiple dilated subcutaneus veins are seen along medial aspect of lower thigh and leg suggestive of varicose veins. Dilated perforator veins connecting subcutaneus veins with deep venous system were seen at medial aspect of ankle and mid leg (Cockett's perforators).

Note diffuse thickening of subcutaneus tissue in leg and thigh.

Skin pigmentation and scarring due to healed ulcers over medial aspect of lower right leg consistent with changes of lipodermatosclerosis.

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Case Information

rID: 35072
Case created: 20th Mar 2015
Last edited: 14th Dec 2015
System: Vascular
Inclusion in quiz mode: Included

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