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.
64 year old female with severe short distance claudication limiting the patients ability to work
61 year old male, diabetic, developed a lateral right foot ulcer after a pedicure. The posterior tibial artery pulse was palpable.
36 year old with pelvic aching and heaviness, painful intercourse and urinary frequency treated with the "uncoil coil" technique