Suprapubic Varicose Veins Idiopathic: A Rare Presentation of Perineal Pelvic Retrograde Flow

Background: Varicose pubic collateral veins are a rare phenomenon secondary to obstruction of the common femoral vein, left external iliac, or common iliac vein. This article aims to describe the clinical case of a 75-year-old female patient who presented with varicose collateral suprapubic veins. C...

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Bibliographic Details
Published in:Vascular and endovascular surgery 2023-07, Vol.57 (5), p.490-493
Main Authors: Tuta Quintero, Eduardo, del Portillo Navarrete, María P., Garzón Alfaro, Diana, Villalobos Monsalve, Walter, Clavijo Cicua, Carolina, Del Río Morales, Violett, Ceballos Mora, María, Pimentel, Juan
Format: Article
Language:English
Subjects:
Aged
Anticoagulants
Female
Humans
Iliac Vein
Pain
Pelvis - blood supply
Phlebography - methods
Treatment Outcome
Varicose Veins - diagnostic imaging
Varicose Veins - therapy
Warfarin
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Summary:Background: Varicose pubic collateral veins are a rare phenomenon secondary to obstruction of the common femoral vein, left external iliac, or common iliac vein. This article aims to describe the clinical case of a 75-year-old female patient who presented with varicose collateral suprapubic veins. Case report: A 75-year-old female patient from a rural area in Colombia presented to the emergency department complaining of a 4-day history of edema, erythema, and pain in the suprapubic region. The patient presented with large varicose veins in the suprapubic region with erythema, warmth, and pain on palpation. A computer tomography scan of the abdomen and pelvis showed suprapubic varicose veins and contrasted in venous phase ruled out iliac vein obstruction. To rule out paraneoplastic syndrome, tumor markers, a transvaginal ultrasound, esophagogastroduodenoscopy and rectosigmoidoscopy were obtained and found to be negative. Anticoagulation with warfarin 5 mg daily and bridge therapy with enoxaparin was initiated. Conclusion: We presented the case of a patient with varicose collateral suprapubic veins of unknown origin, who received anticoagulation with warfarin and analgesic management with subsequent resolution of symptoms.
ISSN:1538-5744
1938-9116
DOI:10.1177/15385744221146637