case_images: PMC5734563_01
case_images: 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.
case_images: 10.1177_2050313X17747490-fig1.jpg
case_images: PMC5734563_01_10.1177_2050313X17747490-fig1.jpg
case_images: fig1-2050313X17747490
case_images: 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).
case_images: Duplex ultrasound image showing large incompetent perforating vein directly underlying varicosity in Figure 1.
case_images: 10.1177_2050313X17747490-fig2.jpg
case_images: PMC5734563_01_10.1177_2050313X17747490-fig2.jpg
case_images: fig2-2050313X17747490
case_images: 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).