scholarly journals Evaluation of pelvic varicose veins using color Doppler ultrasound: comparison of results obtained with ultrasound of the lower limbs, transvaginal ultrasound, and phlebography

2010 ◽  
Vol 9 (2) ◽  
pp. 15-23 ◽  
Author(s):  
Fanilda Souto Barros ◽  
José Maria Gomez Perez ◽  
Eliana Zandonade ◽  
Sérgio X. Salles-Cunha ◽  
Javier Leal Monedero ◽  
...  
Keyword(s):  
Doppler Ultrasound ◽  
Lower Limb ◽  
Varicose Veins ◽  
Color Doppler ◽  
Transvaginal Ultrasound ◽  
Color Doppler Ultrasound ◽  
Diagnostic Methods ◽  
Lower Limbs ◽  
Female Patients ◽  
Vascular Laboratory

Introduction: Pelvic varicose veins, one of the main causes of chronic pelvic pain and dyspareunia, are an important source of reflux for lower limb varicose veins, especially in recurrent cases. Color Doppler ultrasound of the lower limbs and transvaginal ultrasound are the noninvasive diagnostic methods most commonly used to assess pelvic venous insufficiency, whereas phlebography is still considered as the gold standard. Objectives: To determine the prevalence of lower limb varicose veins originating from the pelvis in a group of female patients and to determine the agreement between results obtained via color Doppler ultrasound of the lower limbs, transvaginal ultrasound, and phlebography. Methods: The sample comprised female patients referred to a vascular laboratory for lower limb screening. Patients diagnosed with deep venous thrombosis were excluded. Data analysis included kappa coefficient of agreement, McNemar's test, sensitivity and specificity values. Results: Of a total of 1,020 patients, 124 (12.2%) had findings compatible with reflux of pelvic origin. Among these patients, 51 (41.2%) were recurrent cases. A total of 249 were submitted to transvaginal ultrasound. There was significant agreement between lower limb ultrasonographic findings and transvaginal findings. Phlebography was performed in 54 patients. The comparison between transvaginal ultrasound and phlebography was associated with a 96.2% sensitivity and 100% specificity. Conclusions: The authors draw attention to the relatively high prevalence of lower limb varicose veins originating from the pelvis, suggesting an important but underdiagnosed cause of recurrent varicose veins.

Causes of recurrent lower limb varicose veins after surgical interventions in 141 limbs – Five-year retrospective analysis of two centers

Vascular ◽  
2013 ◽  
Vol 22 (4) ◽  
pp. 267-273 ◽  
Author(s):  
Wang Rui Hua ◽  
Meng Qing Yi ◽  
Wu Xue Jun ◽  
Jin Xing ◽  
Liu Zhao Xuan ◽  
...  
Keyword(s):  
Lower Limb ◽  
Varicose Veins ◽  
Color Doppler ◽  
Color Doppler Ultrasound ◽  
Lower Limbs ◽  
Venous Reflux ◽  
Surgical Interventions ◽  
Venous Valves ◽  
Second Surgery ◽  
Clinical Changes

Aim The purpose of this study was to explore the causes of recurrent lower limb varicose veins after surgical interventions. Methods A retrospective five-year survey was conducted on patients who underwent second surgery due to recurrent lower limb varicose veins after surgical interventions. A total of 141 limbs (112 cases), including 72 cases of left lower limbs, 47 of right lower limbs and 22 of both limbs, were involved in the study. All patients underwent lower limb venography (141 limbs were anterograde and 28 cases were retrograde), and then examined with color-Doppler ultrasound. Results The major causes that urged patients to undergo second surgery are clinical changes graded above CEAP IV (93.6%), limb edema without changes on skin (5%), and single varicosity (1.4%). Up to 127 (83%) limbs exhibited perforating venous reflux, 67 (47.5%) limbs had varied degrees of deep venous insufficiency and 68 (48.2%) limbs had through or above-the-knee great saphenous vein trunk residual. Conclusions Preoperative venography before operation is indispensible in confirming the diagnosis and operation strategies. Patients with severe primary deep venous reflux and symptoms up to C3 may need simultaneous repair of the deep venous valves.

scholarly journals Basic characteristics of duplexsonographyin the assessment of lower limb arterial circulation

2006 ◽  
Vol 59 (5-6) ◽  
pp. 287-290
Author(s):  
Viktorija Vucaj-Cirilovic ◽  
Olivera Nikolic ◽  
Kosta Petrovic ◽  
Mira Govorcin ◽  
Dusan Hadnadjev ◽  
...  
Keyword(s):  
Spectral Analysis ◽  
Lower Limb ◽  
High Reliability ◽  
Color Doppler ◽  
Diagnostic Methods ◽  
Lower Limbs ◽  
Peripheral Arteries ◽  
Major Step ◽  
Iliac Arteries ◽  
Diameter Reduction

Introduction. Dulpex and color duplex ultrasonography of lower limb arteries are valuable non-invasive diagnostic methods in the pathology of vascular diseases and a major step in diagnostics and in follow-up of hemodynamic and morphologic characteristics. Color Duplex Sonography. The method consists of image analysis and analysis of Doppler information. Real-time-B mode is used to visualize the anatomy of blood vessels and other pathological lesions. Doppler information based on the Doppler effect determine the pulse wave i.e. the shape of flow velocity - hemodynamic characteristics. Spectral analysis is the most important element ofDoppler examination of the lower limb peripheral arteries. Based on the spectral analysis, there are four stages of lower limb arterial disease: normal findings - 1%-19% diameter reduction; medium stenosis - artery diameter reduction of 20%-49%; high level stenosis - artery diameter reduction of 50%-100%; occlusion - no flow detected within the imaged arterial segment. In the first place, both iliac arteries are examined, which is followed with femoral, popliteal and crural arteries. The examination of iliac arteries is carried out with a 3.5 MHz transducer, and other peripheral arteries of the lower limbs are examined with a 7,5 or 5 MHz transducer. Conclusion. Color Doppler is an extremely valuable diagnostic method in detecting pathology of the lower limb arteries. With high reliability level arterial insufficiency and pathological arterial segments are diagnosed by a duplex-Doppler. .

scholarly journals Accuracy of clinical methods and doppler ultrasound in detection of incompetency of sapheno-femoral junction and perforators compared with operative results

2017 ◽  
Vol 4 (10) ◽  
pp. 3300
Author(s):  
M. Ajoo Anto Prabhu ◽  
Alok Mohanty
Keyword(s):  
Doppler Ultrasound ◽  
Lower Limb ◽  
Varicose Veins ◽  
Diagnostic Methods ◽  
Predictive Values ◽  
Ultrasound Evaluation ◽  
Doppler Study ◽  
Clinical Methods ◽  
Doppler Evaluation ◽  
Operative Findings

Background: Varicose veins, though a common condition, many time remains asymptomatic. The accurate diagnosis of varicose veins is of great importance in planning effective treatment. It is essential to bring out the accuracy of various diagnostic methods of varicose veins, so that early intervention can be achieved and recurrence can be prevented. The objective of this study was to our study was done with the intention of assessing the accuracy of Clinical evaluation of incompetence of Sapheno-Femoral Junction (SFJ) and perforators over doppler ultrasound evaluation and its Intra-operative confirmation, and also to assess the sensitivity, specificity, positive and negative predictive values and significance of both clinical as well as doppler ultrasound evaluation of varicose veins.Methods: The study was conducted in the in-patients of General Surgery Department from September 2011 to August 2013. Patients presented with dilated tortuous veins in lower limb(s) and operated were included in the study. Patients who had recurrent varicose veins and who were unfit for surgery were excluded from the study. The patients were first evaluated clinically using Brodie - Trendelenburg Test I and II, Tourniquet Test, Schwartz Test, Pratt’s Test, Morrissey’s Cough Impulse Test and Fegan’s Method. Following this, patients were evaluated by Ultrasound Doppler study of Venous system of the Lower limb(s) and sites of perforator incompetence were marked. Intra-operative confirmation of incompetence was done by Turner Warwick’s Bleed back sign. The accuracy of clinical methods and doppler ultrasound evaluation compared with operative findings were assessed.Results: Accuracy of clinical methods in detecting SFJ incompetence was checked with intra-operative findings. The sensitivity was 100%, specificity 100%, PPV 100% and NPV 100%. Similar results were obtained when checking the accuracy of doppler with intra-operative findings. Accuracy of clinical methods in detecting perforator incompetence was checked with intra-operative findings. The sensitivity was 82.93%, specificity 22.22%, PPV 90.67% and NPV 12.5%. Accuracy of doppler evaluation in detecting perforator incompetence was checked with Intra-operative findings. The sensitivity was 97.56%, specificity 12.5%, PPV 91.95% and NPV 33.33%.Conclusions: Diagnosis of varicose veins is essential for planning of treatment if needed. Clinical methods predict the diagnosis of incompetent SFJ and perforators for which patient need not spend money, and are easy to perform. But doppler ultrasound evaluation has been proved to be more reliable, non-invasive and compatible in detecting venous incompetence. Hence, we conclude that doppler ultrasound evaluation is more accurate than clinical methods in detecting incompetent veins.

scholarly journals A neonate with Klippel–Trénaunay syndrome: a case report 

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Franck Katembo Sikakulya ◽  
Walufu Ivan Egesa ◽  
Sonye Magugu Kiyaka ◽  
Philip Anyama
Keyword(s):  
Lower Limb ◽  
Varicose Veins ◽  
Color Doppler ◽  
Color Doppler Ultrasound ◽  
Port Wine ◽  
Black African ◽  
Port Wine Stains ◽  
Left Lower Limb ◽  
Clinical Triad ◽  
Klippel Trenaunay Syndrome

Abstract Background Klippel–Trénaunay syndrome is a rare congenital capillary–lymphatic–venous condition characterized by the clinical triad of capillary malformations (port wine stains), varicose veins with or without venous malformations, and bony and/or soft-tissue hypertrophy. It has a very low incidence of about 1:100,000. Case presentation We report the case of 21-day-old neonate Black African female (born in Uganda) with Klippel–Trénaunay syndrome who presented with macrodactyly and ectrodactyly on the left foot, as well as numerous port wine stains on the left thoracoabdominal region and anteroposterior left lower limb. Color Doppler ultrasound examination of the left lower limb and abdomen revealed varicose veins without signs of arteriovenous fistula. Conclusion The report presents the case of a neonate with a rare congenital vascular disorder type Klippel–Trénaunay syndrome.

Application of Color Doppler Ultrasound in the Clinical Diagnosis of Uterine Incision Infection

2021 ◽  
Vol 11 (1) ◽  
pp. 168-173
Author(s):  
Qiongyan Dai ◽  
Yun Wang
Keyword(s):  
Risk Factors ◽  
Cesarean Section ◽  
Doppler Ultrasound ◽  
Ultrasound Examination ◽  
Color Doppler ◽  
Transvaginal Ultrasound ◽  
Conditional Logistic Regression ◽  
Color Doppler Ultrasound ◽  
Cesarean Sections ◽  
Uterine Incision

Objective: To observe the early changes of uterine incision defects after cesarean section by transvaginal color Doppler ultrasound, and to analyze the risk factors of their formation. Methods: A total of 181 women who underwent cesarean section from September 2016 to June 2018 and who underwent transvaginal ultrasound examination at 6 weeks, 3 months, and 6 months after birth were divided into two groups. (142 cases) and incision defect group (39 cases). The incision changes and the risk factors of incision defect in different periods of postpartum were analyzed. Results: Compared with the group with good incision healing, the length of the incision defect in the cesarean section at 6 months after delivery was shorter than that at 6 weeks after delivery (P < 0.05). The results of non-conditional logistic regression showed that the number of cesarean sections increased and the number of operators was lower. Seniority, postoperative infection, posterior uterine position, and incision close to the cervix are risk factors for poor healing of uterine scars. Conclusion: As the postpartum time increases, the length of the cesarean section incision defect shortens; multiple cesarean sections, puerperal infections, posterior uterus, low incision position and inexperience of the operator are the risk factors for the formation of uterine incision defects and increase uterine scars. Risk of poor healing.

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