Wednesday, July 4, 2012

Interesting venous doppler of short saphenous vein

What do you think of the appearance of this vein- looked like the short saphenous vein, arising a little higher up from the popliteal vein: There was hardly any flow in the short saphenous vein:
What do you think can cause that doughnut appearance?

Varicose veins in the left calf (image above).
Answer: this is a patient of severe varicose veins of the left leg with partial thrombosis of the left short saphenous. There is a partial recanalization of the short saphenous vein (SSV) through the center of the venous thrombus- giving the Lt SSV the typical doughnut appearance. The thrombus appears as echogenic (mildly echogenic) material near the wall of the short saphenous vein. Also note the very poor to almost absent flow in the SSV.

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