Varicose veins due to reflux in a tortuous sartorius muscle vein

In daily phlebology practice, duplex ultrasound may sometimes reveal unusual pathways of reflux. A 46-year-old woman presented with heaviness and pain at the medial side of the left thigh after exercise. A tortuous intramuscular course of a large refluxing vein was seen in the sartorius muscle in co...

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Bibliographic Details
Published in:Journal of vascular surgery. Venous and lymphatic disorders (New York, NY) NY), 2019-05, Vol.7 (3), p.448-449
Main Authors: de Roos, Kees-Peter, De Maeseneer, Marianne G.R.
Format: Article
Language:English
Subjects:
Combined Modality Therapy
Duplex ultrasound
Female
Femoral Vein - diagnostic imaging
Femoral Vein - physiopathology
Femoral Vein - surgery
Humans
Magnetic Resonance Angiography
Middle Aged
Muscle, Skeletal - blood supply
Radiofrequency Ablation
Saphenous Vein - diagnostic imaging
Saphenous Vein - physiopathology
Saphenous Vein - surgery
Sartorius muscle
Sclerotherapy
Treatment Outcome
Ultrasonography, Doppler, Duplex
Varicose veins
Varicose Veins - diagnostic imaging
Varicose Veins - etiology
Varicose Veins - physiopathology
Varicose Veins - therapy
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Summary:In daily phlebology practice, duplex ultrasound may sometimes reveal unusual pathways of reflux. A 46-year-old woman presented with heaviness and pain at the medial side of the left thigh after exercise. A tortuous intramuscular course of a large refluxing vein was seen in the sartorius muscle in connection with a femoral vein perforator cranially and the below-knee great saphenous vein distally. Magnetic resonance imaging confirmed these findings. Treatment consisted of a combination of foam sclerotherapy, radiofrequency ablation, and phlebectomies.
ISSN:2213-333X
2213-3348
DOI:10.1016/j.jvsv.2018.07.011