38 year old female with deep venous thrombosis 14 years ago while on birth control pills. Second DVT shortly after discontinuing anti-coagulation. Hematologic work up showed the patient to have Protein S deficiency. Patient suffered with severe post thrombotic syndrome eventually resulting in venous ulceration 8 years ago. Patient suffered with a chronic ulcer that was eventually healed after venoplasty of the femoral and popliteal veins.
Renal vein stent placed for Nutracker Syndrome was placed too far into the IVC and causing pain. Stent was partially removed.
Painful varicoceles interfering with high school athletics
Recurrent lower extermity DVT should prompt an investigation for venous outflow obstruction. Too often these patients are under treated.