94 year old female, worsening right toe and foot pain. Seen by primary care and diagnosed as having gout. The clinical findings of critical limb ischemia - dry scaly skin, nail changes, absent pulses and a punched out ulcer on the 2nd toe - were ignored. Popliteal artery occlusion treated with atherectomy.
Nutcracker syndrome is one of the causes of secondary pelvic congestion syndrome.
38 year old female with severe post thrombotic syndrome and severe venous ulceration for 8 years
62 year old female suffering for 30 years with pelvic venous congestion