Whiteley Alice M, Holdstock Judith M, Whiteley Mark S
The Whiteley Clinic, Guildford, UK.
Faculty of Health and Biomedical Sciences, University of Surrey, Guildford, UK.
SAGE Open Med Case Rep. 2018 May 17;6:2050313X18777166. doi: 10.1177/2050313X18777166. eCollection 2018.
A 56-year-old woman presented in 2006 with symptomatic primary varicose veins in her right leg. Venous duplex ultrasonography at that time showed what appeared to be "neovascular tissue" around the saphenofemoral junction. However, there had been no previous trauma or surgery in this area. This appearance has subsequently been described as primary avalvular varicose anomalies. She underwent endovenous treatment at that time. In 2018, she presented with symptomatic recurrent varicose veins of the same leg. Venous duplex ultrasonography showed successful ablation of the great saphenous and anterior accessory saphenous veins. All of the recurrent venous reflux was arising from the primary avalvular varicose anomalies. This report shows that primary avalvular varicose anomalies is a previously unreported cause of recurrent varicose veins and leads us to suggest that if found, treatment of the primary avalvular varicose anomalies should be considered at the primary procedure.
一名56岁女性于2006年因右下肢有症状的原发性静脉曲张就诊。当时的静脉双功超声检查显示在大隐静脉股静脉交界处周围似乎有“新生血管组织”。然而，该区域此前并无外伤或手术史。这种表现后来被描述为原发性无瓣静脉曲张异常。她当时接受了腔内治疗。2018年，她因同一条腿出现有症状的复发性静脉曲张再次就诊。静脉双功超声检查显示大隐静脉和前副隐静脉成功消融。所有复发性静脉反流均源于原发性无瓣静脉曲张异常。本报告表明，原发性无瓣静脉曲张异常是复发性静脉曲张的一个此前未报告的病因，并促使我们提出，如果发现原发性无瓣静脉曲张异常，在初次手术时应考虑对其进行治疗。
