Surgical images: soft tissue Reccurent deep vein thrombosis caused by hypoplasia of the inferior vena cava

摘要

A 62-year-old man had relapsing episodes of deep vein thrombosis of the lower extremities. The first episode had occurred almost 40 years earlier, followed by at least 7 similar episodes. He was taking anticoagulants orally. He had no other concomitant disease On clinical examination dilated veins could be seen on the lateral abdominal wall and periumbilically (Medusa's head) (Fig, 1). Both lower extremities showed signs of chronic venous insufficiency, with enlarged varicose veins, hyperpig-mentation and skin atrophy (Fig 2).