Introduction:
A 35-year-old woman presented to the City Clinical Hospital with occasional swelling of her left leg in the evenings.
Complaints:
The patient was also concerned about varicose vein enlargement.
Typically, the swelling subsided in the mornings after sleep.
Medical History:
The woman first noticed varicose veins about five years ago. An ultrasound duplex scan of the leg veins performed at a local clinic revealed varicose transformation of the superficial veins in the great saphenous vein system. A cardiovascular surgeon recommended surgery.
None of her family members had experienced varicose veins.
Examination:
The patient was in good condition, conscious, and alert. There were no swellings. The lymph nodes were not enlarged, soft, and painless. The skin was normal in color and elastic. There were no changes in the oral mucosa. Muscles, joints, and bones were normal. Blood pressure was normal.
Varicose vein enlargement was noted in the left leg without signs of inflammation.
Diagnosis:
Varicose disease in the great saphenous vein system of the left leg. Chronic venous insufficiency of the third (severe) stage according to CEAP.
Treatment:
The patient underwent radiofrequency ablation of the vein trunk and removal of the tributaries of the great saphenous vein in the left leg.
The signs of chronic venous insufficiency noticeably decreased the next day after the operation.
The woman was discharged in satisfactory condition under the care of a vascular surgeon at her place of residence. A follow-up examination was scheduled in two weeks.
Conclusion:
This clinical case clearly demonstrates the classic development and outcome of varicose vein disease through radiofrequency ablation of the vein trunk and miniphlebectomy of the tributaries of the great saphenous vein.
The distinctive feature was the complete and rapid response to treatment, as well as full recovery in a short time. This was achieved thanks to the patient’s timely consultation with the doctor and not delaying treatment.