Venous ulceration secondary to venous outflow obstruction and incompetent superficial and deep veins

about this presentation

65 year old male presented with a right lower extremity venous ulcer. During workup, the patient was found to have extensive incompetence of the superficial and deep venous systems. This prompted evaluation for venous outflow obstruction. CT Venography showed compression of the proximal right external iliac vein at the bifurcation of the right common iliac artery between the external and internal iliac arteries. Treatment of the venous outflow obstruction resulted in near ulcer healing in 1 month. After correction of the superficial venous disease, the ulcer completely healed. Extensive superficial and deep incompetence should prompt evaluation of the venous outflow in the pelvis.

More Seldinger Files

Pelvic Venous IncompetencePelvic Venous Congestion Secondary to Nutcracker Sydrome

Nutcracker syndrome is one of the causes of secondary pelvic congestion syndrome.

Critical Limb IschemiaCritical limb ischemia, failed bypass graft

64 year old male, type 1 diabetes, with a prior femoral to politeal bypass graft and a subsequent poplileal to tibial bypass graft.

Critical Limb IschemiaPedal Loop Reconstruction

46 year old male, type 1 diabetes, with ulcers on several toes. Patient had palpable pulses at the ankle.