You are here

Article Text

Article menu
Download PDFPDF
Unusual presentation of more common disease/injury
CASE REPORT
Episodes of extreme lower leg pain caused by intraosseous varicose veins
  1. Elisa S Rezaie,
  2. Mario Maas,
  3. Chantal M A M van der Horst
  1. Department of Plastic Surgery, Academic Medical Center, Amsterdam, The Netherlands
  1. Correspondence to Professor Chantal M A M van der Horst, c.m.vanderhorst{at}amc.uva.nl

Summary

We present a case of a 67-year-old man with episodes of extreme pain of the right lower extremity that prevented him from walking and sleeping. The patient had a history of varices in both legs. Physical examination showed a pretibial varix of the right leg inferiorly from a painful spot. X-ray of the right lower leg showed a cortex disruption at this spot. MRIs confirmed the disruption of the cortex of the right tibia and demonstrated an intraosseous vessel. The diagnosis intraosseous varices was made and the vein was surgically resected. Follow-up took place after 3 years and the patient was free from any symptoms related to the intraosseous varicose vein. The pathophysiology causing the pain symptoms is hard to understand, partly due to the limited cases presented with such anomalies. We demonstrate our case in the hope to generate more knowledge about this disorder.

  • vascular surgery
  • radiology
  • dermatology
  • plastic and reconstructive surgery

https://doi.org/10.1136/bcr-2017-223986

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    View Full Text

    Footnotes

    • Contributors ESR had a part in patient treatment, follow-up and drafting the paper. MM was the radiologist that diagnosed the patient, he was responsible for the images in the paper and revised the paper critically. CMAMvdH was the plastic surgeon that performed surgery on the patient and performed follow-up visits. She revised the paper critically and is the scientific corresponding author of this manuscript.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.