PMC5734563_01
Photograph of left lower leg medial aspect (left) and anterior aspect (right). Black arrow marks the varicosity that emerged acutely during strenuous cycling. Varicose veins can be seen descending from the varicosity.
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She stopped immediately, thinking she had injured herself, and she saw a large, prominent varicose vein which had not been visible before, exactly where the pain had been (Figure 1).
Duplex ultrasound image showing large incompetent perforating vein directly underlying varicosity in Figure 1.
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Duplex ultrasonography revealed an IPV measuring 4.9 mm diameter at the fascia, directly below the prominent varix, which was showing gross reflux (>500 ms; Figure 2).