Abdominal and pubic collateral veins as indicators of deep venous obstruction

Kurstjens, Ralph L. M.; Vuuren, Timme M. A. J. van; Wolf, Mark A.; Graaf, Rick de; Arnoldussen, Carsten W. K. P.; Wittens, Cees H. A.

doi:10.1016/j.jvsv.2016.06.005

Cited by 17 publications

(28 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Doing so, the duplex-ultrasound and mapping will be easier, quicker, and the probability of missing a relevant fi nding is lower, particularly in case of an atypical source of refl ux. For example, prominent veins of the trunk should raise suspicion of a possible iliac outfl ow obstruction [32]. Varicose veins in the groin and pubic area can also be a clue for an iliac vein obstruction.…”

Section: Physical Examinationmentioning

confidence: 99%

Clinical and duplex ultrasound evaluation of lower extremities varicose veins – a practical guideline

Spinedi

Brož

Engelberger

et al. 2017

Vasa

View full text Add to dashboard Cite

Summary:Lower extremities varicose veins are among the most frequent diseases in the general population. They can cause complaints with a deterioration of the quality of life and are associated with potentially threatening clinical conditions such as chronic venous ulceration, haemorrhage from ruptured varicose veins, and venous thromboembolism. An accurate diagnostic work-up is crucial to confi rm the presence and the extension of the venous problem, in order to obtain an optimal management of the condition. In the past years, great efforts have been made to reach an international consensus on the terminology, the symptomatology, the classifi cation, and the duplex ultrasound examination of lower extremities varicose veins. Mainly guided by these consensus documents, the present article describes the diagnostic work-up of lower extremities varicose veins, based on a careful medical history, physical examination, and duplex ultrasound examination.

show abstract

Section: Physical Examinationmentioning

confidence: 99%

Clinical and duplex ultrasound evaluation of lower extremities varicose veins – a practical guideline

Spinedi

Brož

Engelberger

et al. 2017

Vasa

View full text Add to dashboard Cite

show abstract

“…In general, collateral circulation is an anatomical terminology and concerns an alternative path occurring in case of various vascular disorders, such as venous or artery obstruction. 3 Pubic collateral veins are positive predictive value for deep venous obstruction and usually result of iliac vein obstruction, due to previous DVT and PTS. 3 , 4 These varicose collaterals are prone to thrombosis due to their thin wall and vein stasis.…”

Section: Introductionmentioning

confidence: 98%

“… 3 Pubic collateral veins are positive predictive value for deep venous obstruction and usually result of iliac vein obstruction, due to previous DVT and PTS. 3 , 4 These varicose collaterals are prone to thrombosis due to their thin wall and vein stasis. 5 Imaging studies include duplex ultrasound (DUS), computed tomography venography (CTV), magnetic resonance venography (MRV) and classic venography.…”

Section: Introductionmentioning

confidence: 98%

“… 5 Imaging studies include duplex ultrasound (DUS), computed tomography venography (CTV), magnetic resonance venography (MRV) and classic venography. 3 , 5 , 6 Surgical removal of collateral veins is contraindicated since this could worsen the deep venous circulation, except cases with inflammation and erosion. 2 , 3 Treatment of choice is usually conservative, with compression socks, mobilization and anticoagulation.…”

Section: Introductionmentioning

confidence: 99%

“… 3 , 5 , 6 Surgical removal of collateral veins is contraindicated since this could worsen the deep venous circulation, except cases with inflammation and erosion. 2 , 3 Treatment of choice is usually conservative, with compression socks, mobilization and anticoagulation. 3 Although in case of treatment failure, more invasive methods, such as percutaneous transluminal angioplasty and stenting, may have clinical success.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

A case report of thrombosed varicosities of pubic collateral veins: Ideal treatment strategy and contribution of era imaging technologies in diagnosis

Paramythiotis

Goulas

Bangeas

et al. 2018

SAGE Open Medical Case Reports

View full text Add to dashboard Cite

Collateral circulation is an alternative path occurring in case of venous or artery obstruction. This path may usually develop after primary recanalization. In our case, a 62-year-old woman presented to our Emergency Department complaining about a suprapubic swelling with a cyanotic discoloration of the overlying skin for the past 10 days for which she had been previously prescribed antibiotics. Investigation with ultrasound and contrast-enhanced computed tomography was performed. An imaging study revealed thrombosed pubic varicose collateral veins due to deep vein obstruction and occlusion of the left external iliac vein. The patient was treated with low-molecular-weight heparin, and swelling subsided gradually. Collateral veins of the abdominal wall and over the pubic tubercle are highly predictive of deep venous obstructive disease proximal to the groin level. These collaterals should never be removed, and the patient should be subjected to a diligent laboratory and imaging investigation.

show abstract