Venous ulceration: understanding the commonest lower limb wound

Abstract

This case demonstrates the importance of treating the underlying pathophysiology and discusses the imaging in the treatment of venous ulcers. The patient presented with a history of a non-healing ulcer for over five months. The patient attended a wound clinic for dressings and a negativepressure wound therapy (NPWT) dressing with no decrease in ulcer size. When the patient presented to our clinic, a duplex ultrasound (DUS) imaging was done to understand the underlying pathophysiology. The findings were deep and superficial venous reflux and obstructive disease (May–Thurner syndrome). Combined procedures to treat obstructive and superficial venous reflux were performed. Six weeks after the treatment the ulcer had completely healed with the use of compression bandaging.