Chronic Venous Insufficiency Varicose Veins Venous Thrombosis || Ultrasound || Doppler || Case 252

Blog Link: https://drmahin.blogspot.com/2022/03/...

Clinical Features:
A 52 years old male patient came with
Left leg pain
Dilated superficial veins with overlying skin discoloration

Ultrasound Features:
Bilateral severely incompetent saphenofemoral & saphenopopliteal junctions along with dilated incompetent left leg perforators suggest chronic venous insufficiency.
Dilated & tortuous superficial veins along both long & short saphenous territories of the left lower limb, more prominent below the knee indicate varicose veins.
Heterogeneous lowlevel echoes within a dilated tortuous, noncompressible posterior thigh tributary of the left long saphenous vein suggest venous thrombosis.
No deep venous thrombosis.
Prominent left inguinal lymph nodes.

Remember:
In case of longstanding varicose veins, thrombus within superficial & deep veins is not uncommon.

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