Isolierte Varikose unter dem Bild eines Gefäßtumors

Zusammenfassung

Wir berichten in diesem Fallbeispiel über einen Patienten, der nach einem Anpralltrauma prätibial rechts einen prall-elastischen Tumor am Ort der Verletzung entwickelte. Es erfolgte die Vorstellung zum Ausschluss eines malignen Gefäßtumors in unserer phlebologischen Sprechstunde. Sonografisch zeigte sich ein Varizenpolster im Bereich einer vorbestehenden Varize ohne Anhalt für Malignität am rechten Unterschenkel, entstanden durch die posttraumatische Angiogenese im Rahmen der Wundheilung. Aufgrund der exponierten Lage prätibial, der Gefahr einer Ruptur und den Beschwerden des Patienten entschieden wir uns zur Therapie mittels Schaumsklerosierung. Nach vier Anwendungen konnte die zuführende Vene verschlossen werden und die Beschwerden des Patienten besserten sich rasch.

Abstract

In this case report we report a patient that developed a steep tumor pretibial on his lower right leg after an impact trauma on that site. This patient came to our phlebologic consulting hour to exclude a malignant tumor. Sonography showed a varicose pad linked to a pre-existing varicose vein with no signs of malignity, developed after the impact trauma pretibial in the context of wound healing dependent angiogenesis. Because of the danger of bleeding being in such an exposed spot and the symptoms of the patient we decided to use foam sclerotherapy. After four sessions the feeding varicose vein was closed and the symptoms of the patient improved quickly.

Schlüsselwörter

Sklerotherapie - Varizen - Angiogenese

Keywords

sclerotherapy - varicose veins - angiogenesis

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