38 year old female with deep venous thrombosis 14 years ago while on birth control pills. Second DVT shortly after discontinuing anti-coagulation. Hematologic work up showed the patient to have Protein S deficiency. Patient suffered with severe post thrombotic syndrome eventually resulting in venous ulceration 8 years ago. Patient suffered with a chronic ulcer that was eventually healed after venoplasty of the femoral and popliteal veins.
86 year old female with a several month history of a painful non-healing ulcer over the lateral malleolus.
Iliac vein compression may cause pelvic venous congestion.
Current physiologic testing for ulcer perfusion may fail to identify patients with ischemia