Case 35081

Abstract

Presentation of Case First admission. A twenty-five-year-old single laborer entered the hospital because of varicose veins.The patient was first seen in the Out-Patient Department three years previously for intermittent pain in both legs, occasionally associated with swelling. During the next three years he experienced occasional cramps in the legs and developed small, chronic, 1-cm. ulcers above the medial malleoli. Physical examination was otherwise negative. A bilateral, long saphenous ligation was performed. The ulcers healed readily but about two months later reappeared. Second admission. He re-entered the hospital, where venograms indicated a blockage of the deep system. A bilateral lumbar . . .