Varicose veins of abdomen and leg ulcer

This patient presented to The Whiteley Clinic this week. He is in his 60s and has a leg ulcer of the right ankle.

Leg ulcer of right leg (covered by clear dressing)

As a child, he had been given injections penicillin into his thighs at age 3 weeks. As he grew up, his legs swelled regularly and he had "fragile veins".

Examining his abdomen when standing, he showed varicose veins of his right lower abdomen running from groin to flank.

Varicose veins of patients left lower abdomen groin up to the flank

This is a rare pattern of varicose veins seen when the veins deep in the pelvis have been blocked for a very long time.

For more pictures and discussion about this case, see: www.CollegeofPhlebology.com