Phlebologie 2017; 46(03): 155-162
DOI: 10.12687/phleb2360-3-2017
Advanced learning in pictures
Schattauer GmbH

Secondary findings in duplex ultrasound of leg veins

Case Reports Article in several languages: English | deutsch
N. Devereux
1   Krankenhaus Tabea, Zentrum für Venen-und Dermatochirurgie, Hamburg, Germany
,
J. Woitalla
1   Krankenhaus Tabea, Zentrum für Venen-und Dermatochirurgie, Hamburg, Germany
,
G. Bruning
1   Krankenhaus Tabea, Zentrum für Venen-und Dermatochirurgie, Hamburg, Germany
› Author Affiliations
Further Information

Publication History

Received: 19 February 2017

Accepted: 20 February 2017

Publication Date:
04 January 2018 (online)

Summary

The diagnosis of venous diseases and abnormalities has gained a new dimension with duplex ultrasound, which is now regarded as the gold standard for leg vein examination. The combination of B scan, doppler and colour-coding of the blood flow in duplex ultra-sound offers a simple, highly predictive, noninvasive diagnosis of venous disease. It provides important information not only on the haemodynamic function but also on the patient‘s anatomy, allowing a diagnostic look left, look right“. As a result, secondary findings frequently crop up during systematic duplex ultrasound examination of the superficial and deep leg veins. This Advanced Learning in Pictures presents the most common secondary findings in vein surgery consultations.

 
  • References

  • 1 Brenn T. Neoplasms of subcutaneous fat. In: Wolff K, Goldsmith LA, Katz SI. et al. editors.. Fitzpatrick’s Dermatology in General Medicine. 7th ed. New York: McGraw-Hill; 2008: 1090-1098.
  • 2 Hofer T. Seltene Ursache von Beinbeschwerden. Phlebologie 2009; 38: 267-269.
  • 3 Kretschmer L, Thoms KM, Peeters S. et al. Postoperative morbidity of lymph node excision for cutaneous melanoma-sentinel lymphonodectomy versus complete regional lymph node dissection. Melanoma Res 2008; 18 (Suppl. 01) 16-21.
  • 4 Moritz RK, Reich-Schupke S, Altmeyer P, Stücker M. Polidocanol foam sclerotherapy of persisting postoperative seromas after varicose vein surgery: a series of six cases. Phlebology 2013; 28 (Suppl. 07) 341-346.
  • 5 Caliendo MV, Lee DE, Queiroz R, Waldman DL. Sclerotherapy with use of doxycycline after percutaneous drainage of postoperative lymphoceles. J Vasc Interv Radiol 2001; 12 (Suppl. 01) 73-77.
  • 6 Krüners U, Knipp H, Ehresmann U, Teubner K, Holzapfel R. Differentiated ultrasound diagnosis of acutely unclear calf pain. Phlebologie 2000; 29: 76-80.
  • 7 Mendoza E. Baker´s Cyst Common differential diagnosis of deep vein Thrombosis. Phlebologie 2013; 42: 89-91.
  • 8 Brauer WJ. Ultrasound in lymphology State-ofthe-art. Phlebologie 2015; 44: 110-117.
  • 9 Blum A, Dill-Müller D. Sonographie der Lymphknoten und der Subkutis in der Dermatologie, Teil 1. Hautarzt 1998; 49: 942-949.