Bottom up Treatment for Vulvar and Lower Extremity Varicose Veins of Pelvic Origin: A Case Report
Background: Extrapelvic varices of pelvic origin, such as vulvar varices, and lower extremity varicose veins (VVs) of pelvic origin are being diagnosed with increasing frequency. A proper management strategy, including history, physical examination, duplex ultrasound (DUS) of the lower extremities,...
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Elsevier
2025-01-01
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| Series: | EJVES Vascular Forum |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666688X24001618 |
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| author | Aleksandra Jaworucka-Kaczorowska Marianne De Maeseneer |
| author_facet | Aleksandra Jaworucka-Kaczorowska Marianne De Maeseneer |
| author_sort | Aleksandra Jaworucka-Kaczorowska |
| collection | DOAJ |
| description | Background: Extrapelvic varices of pelvic origin, such as vulvar varices, and lower extremity varicose veins (VVs) of pelvic origin are being diagnosed with increasing frequency. A proper management strategy, including history, physical examination, duplex ultrasound (DUS) of the lower extremities, DUS of pelvic escape points, selection of appropriate treatment, and post-treatment care, is essential for good patient outcomes and satisfaction. Case report: A non-pregnant, 27 year old female presented with prominent vulvar varices in combination with right sided VVs on the anterior and medial thigh, calf, and buttock. She was successfully managed by bottom up treatment with ultrasound guided foam sclerotherapy. The bottom up technique involves treatment of VVs of pelvic origin by direct puncture of the pelvic escape points and associated VVs, without embolisation of the pelvic veins. Conclusion: This case illustrates successful bottom up treatment in accordance with recent guidelines in a female patient with extensive VVs of pelvic origin. |
| format | Article |
| id | doaj-art-9d9b57c9d6844fb4b26d251bdb54bc9c |
| institution | DOAJ |
| issn | 2666-688X |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | EJVES Vascular Forum |
| spelling | doaj-art-9d9b57c9d6844fb4b26d251bdb54bc9c2025-08-20T03:23:06ZengElsevierEJVES Vascular Forum2666-688X2025-01-0163535610.1016/j.ejvsvf.2024.12.004Bottom up Treatment for Vulvar and Lower Extremity Varicose Veins of Pelvic Origin: A Case ReportAleksandra Jaworucka-Kaczorowska0Marianne De Maeseneer1Centre of Phlebology and Aesthetic Medicine, Gorzów Wlkp., Poland; Corresponding author. Centre of Phlebology and Aesthetic Medicine, Plac Jana Pawła II 76 CD, 66-400 Gorzów Wlkp., Poland.Department of Dermatology, Erasmus Medical Centre, Rotterdam, the NetherlandsBackground: Extrapelvic varices of pelvic origin, such as vulvar varices, and lower extremity varicose veins (VVs) of pelvic origin are being diagnosed with increasing frequency. A proper management strategy, including history, physical examination, duplex ultrasound (DUS) of the lower extremities, DUS of pelvic escape points, selection of appropriate treatment, and post-treatment care, is essential for good patient outcomes and satisfaction. Case report: A non-pregnant, 27 year old female presented with prominent vulvar varices in combination with right sided VVs on the anterior and medial thigh, calf, and buttock. She was successfully managed by bottom up treatment with ultrasound guided foam sclerotherapy. The bottom up technique involves treatment of VVs of pelvic origin by direct puncture of the pelvic escape points and associated VVs, without embolisation of the pelvic veins. Conclusion: This case illustrates successful bottom up treatment in accordance with recent guidelines in a female patient with extensive VVs of pelvic origin.http://www.sciencedirect.com/science/article/pii/S2666688X24001618Bottom up treatmentPelvic escape pointsPelvic vein incompetencePelvic venous disordersUltrasound guided foam sclerotherapyVulvar varicose veins |
| spellingShingle | Aleksandra Jaworucka-Kaczorowska Marianne De Maeseneer Bottom up Treatment for Vulvar and Lower Extremity Varicose Veins of Pelvic Origin: A Case Report EJVES Vascular Forum Bottom up treatment Pelvic escape points Pelvic vein incompetence Pelvic venous disorders Ultrasound guided foam sclerotherapy Vulvar varicose veins |
| title | Bottom up Treatment for Vulvar and Lower Extremity Varicose Veins of Pelvic Origin: A Case Report |
| title_full | Bottom up Treatment for Vulvar and Lower Extremity Varicose Veins of Pelvic Origin: A Case Report |
| title_fullStr | Bottom up Treatment for Vulvar and Lower Extremity Varicose Veins of Pelvic Origin: A Case Report |
| title_full_unstemmed | Bottom up Treatment for Vulvar and Lower Extremity Varicose Veins of Pelvic Origin: A Case Report |
| title_short | Bottom up Treatment for Vulvar and Lower Extremity Varicose Veins of Pelvic Origin: A Case Report |
| title_sort | bottom up treatment for vulvar and lower extremity varicose veins of pelvic origin a case report |
| topic | Bottom up treatment Pelvic escape points Pelvic vein incompetence Pelvic venous disorders Ultrasound guided foam sclerotherapy Vulvar varicose veins |
| url | http://www.sciencedirect.com/science/article/pii/S2666688X24001618 |
| work_keys_str_mv | AT aleksandrajaworuckakaczorowska bottomuptreatmentforvulvarandlowerextremityvaricoseveinsofpelvicoriginacasereport AT mariannedemaeseneer bottomuptreatmentforvulvarandlowerextremityvaricoseveinsofpelvicoriginacasereport |