Female initially presenting with pelvic venous congestion secondary to Nutcracker Phenomena. After treatment of the PVC, the patients pelvic complaints improved but they developed worsening symptoms of Nutcracker Syndrome. The NCS was treated with renal vein stenting and the symptoms improved. However, the patient had new right sided pain with deep breathing. The renal vein stent was impinging on the lateral wall of the IVC. The stent was partially extracted with improvement of pain.
82 year old male, heavy smoker, developed right heel ulcer during rehab after a femur fracture.
Current physiologic testing for ulcer perfusion may fail to identify patients with ischemia
86 year old female with a several month history of a painful non-healing ulcer over the lateral malleolus.