Intraosseous anomalous drainage: a rare case of pretibial varicose vein

ABSTRACT Valve failure with reflux and post-thrombotic syndrome are the factors most commonly correlated with varicose disease. Other rare etiologies can be put forward when these two main causes are ruled out. We report a case in which a young man presented chronic pain in the left tibia, varicose...

Full description

Bibliographic Details
Main Authors: Frederico Barra de Moraes, Carolina Parreira Ribeiro Camelo, Marcelo Luiz Brandão, Pedro Ivo Fávaro, Tercília Almeida Barbosa, Raul Carlos Barbosa
Format: Article
Language:English
Published: Sociedade Brasileira de Ortopedia e Traumatologia
Series:Revista Brasileira de Ortopedia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162016000600716&lng=en&tlng=en
_version_ 1797331092255014912
author Frederico Barra de Moraes
Carolina Parreira Ribeiro Camelo
Marcelo Luiz Brandão
Pedro Ivo Fávaro
Tercília Almeida Barbosa
Raul Carlos Barbosa
author_facet Frederico Barra de Moraes
Carolina Parreira Ribeiro Camelo
Marcelo Luiz Brandão
Pedro Ivo Fávaro
Tercília Almeida Barbosa
Raul Carlos Barbosa
author_sort Frederico Barra de Moraes
collection DOAJ
description ABSTRACT Valve failure with reflux and post-thrombotic syndrome are the factors most commonly correlated with varicose disease. Other rare etiologies can be put forward when these two main causes are ruled out. We report a case in which a young man presented chronic pain in the left tibia, varicose veins in the lower limbs and frequent occurrences of erysipelas. During investigation of the etiology of the varicose veins, radiographs and magnetic resonance imaging of the left leg were requested. These showed images suggestive of an osteolytic lesion in the tibia, but led us to the diagnosis of an intraosseous vein with anomalous drainage. This was confirmed through vascular examinations comprising Doppler venous flow measurement and phlebography. Recognition of this rare intraosseous anomaly is fundamental for proper patient management, but an intraosseous surgical approach is unnecessary.
first_indexed 2024-03-08T07:29:33Z
format Article
id doaj.art-cd33b4db90d54fe48404d0945c5be1b6
institution Directory Open Access Journal
issn 1982-4378
language English
last_indexed 2024-03-08T07:29:33Z
publisher Sociedade Brasileira de Ortopedia e Traumatologia
record_format Article
series Revista Brasileira de Ortopedia
spelling doaj.art-cd33b4db90d54fe48404d0945c5be1b62024-02-02T21:02:19ZengSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia1982-437851671671910.1016/j.rboe.2015.10.014S0102-36162016000600716Intraosseous anomalous drainage: a rare case of pretibial varicose veinFrederico Barra de MoraesCarolina Parreira Ribeiro CameloMarcelo Luiz BrandãoPedro Ivo FávaroTercília Almeida BarbosaRaul Carlos BarbosaABSTRACT Valve failure with reflux and post-thrombotic syndrome are the factors most commonly correlated with varicose disease. Other rare etiologies can be put forward when these two main causes are ruled out. We report a case in which a young man presented chronic pain in the left tibia, varicose veins in the lower limbs and frequent occurrences of erysipelas. During investigation of the etiology of the varicose veins, radiographs and magnetic resonance imaging of the left leg were requested. These showed images suggestive of an osteolytic lesion in the tibia, but led us to the diagnosis of an intraosseous vein with anomalous drainage. This was confirmed through vascular examinations comprising Doppler venous flow measurement and phlebography. Recognition of this rare intraosseous anomaly is fundamental for proper patient management, but an intraosseous surgical approach is unnecessary.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162016000600716&lng=en&tlng=enVarizesDrenagemInfusões intraósseas/métodos
spellingShingle Frederico Barra de Moraes
Carolina Parreira Ribeiro Camelo
Marcelo Luiz Brandão
Pedro Ivo Fávaro
Tercília Almeida Barbosa
Raul Carlos Barbosa
Intraosseous anomalous drainage: a rare case of pretibial varicose vein
Revista Brasileira de Ortopedia
Varizes
Drenagem
Infusões intraósseas/métodos
title Intraosseous anomalous drainage: a rare case of pretibial varicose vein
title_full Intraosseous anomalous drainage: a rare case of pretibial varicose vein
title_fullStr Intraosseous anomalous drainage: a rare case of pretibial varicose vein
title_full_unstemmed Intraosseous anomalous drainage: a rare case of pretibial varicose vein
title_short Intraosseous anomalous drainage: a rare case of pretibial varicose vein
title_sort intraosseous anomalous drainage a rare case of pretibial varicose vein
topic Varizes
Drenagem
Infusões intraósseas/métodos
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162016000600716&lng=en&tlng=en
work_keys_str_mv AT fredericobarrademoraes intraosseousanomalousdrainageararecaseofpretibialvaricosevein
AT carolinaparreiraribeirocamelo intraosseousanomalousdrainageararecaseofpretibialvaricosevein
AT marceloluizbrandao intraosseousanomalousdrainageararecaseofpretibialvaricosevein
AT pedroivofavaro intraosseousanomalousdrainageararecaseofpretibialvaricosevein
AT terciliaalmeidabarbosa intraosseousanomalousdrainageararecaseofpretibialvaricosevein
AT raulcarlosbarbosa intraosseousanomalousdrainageararecaseofpretibialvaricosevein