In daily phlebology practice, duplex ultrasound may sometimes reveal unusual pathways of reflux. A 46-year-old woman presented with heaviness and pain at the medial side of the left thigh after exercise. A tortuous intramuscular course of a large refluxing vein was seen in the sartorius muscle in connection with a femoral vein perforator cranially and the below-knee great saphenous vein distally. Magnetic resonance imaging confirmed these findings. Treatment consisted of a combination of foam sclerotherapy, radiofrequency ablation, and phlebectomies.

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Journal of Vascular Surgery: Venous and Lymphatic Disorders
Department of Dermatology

de Roos, K. P., & de Maeseneer, M. (2018). Varicose veins due to reflux in a tortuous sartorius muscle vein. Journal of Vascular Surgery: Venous and Lymphatic Disorders. doi:10.1016/j.jvsv.2018.07.011