Varicose veins due to reflux in a tortuous sartorius muscle vein

Publication date: Available online 17 September 2018Source: Journal of Vascular Surgery: Venous and Lymphatic DisordersAuthor(s): Kees-Peter de Roos, Marianne G.R. De MaeseneerAbstractIn daily phlebology practice, duplex ultrasound may sometimes reveal unusual pathways of reflux. A 46-year-old woman presented with heaviness and pain at the medial side of the left thigh after exercise. A tortuous intramuscular course of a large refluxing vein was seen in the sartorius muscle in connection with a femoral vein perforator cranially and the below-knee great saphenous vein distally. Magnetic resonance imaging confirmed these findings. Treatment consisted of a combination of foam sclerotherapy, radiofrequency ablation, and phlebectomies.
Source: Journal of Vascular Surgery: Venous and Lymphatic Disorders - Category: Surgery Source Type: research