Chronic Venous Insufficiency - Varicose Veins - Venous Thrombosis || Ultrasound || Doppler || Case 252

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Clinical Features:
A 52 years old male patient came with
- Left leg pain
- Dilated superficial veins with overlying skin discoloration

Ultrasound Features:
- Bilateral severely incompetent sapheno-femoral & sapheno-popliteal junctions along with dilated incompetent left leg perforators suggest chronic venous insufficiency.
- Dilated & tortuous superficial veins along both long & short saphenous territories of the left lower limb, more prominent below the knee indicate varicose veins.
- Heterogeneous low-level echoes within a dilated tortuous, non-compressible posterior thigh tributary of the left long saphenous vein suggest venous thrombosis.
- No deep venous thrombosis.
- Prominent left inguinal lymph nodes.

Remember:
In case of long-standing varicose veins, thrombus within superficial & deep veins is not uncommon.

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