case_images: PMC5051671_01
case_images: Image showing the large vulval varices (white arrow) with the patient in supine position.
case_images: 10.1177_2050313X16672103-fig1.jpg
case_images: PMC5051671_01_10.1177_2050313X16672103-fig1.jpg
case_images: fig1-2050313X16672103
case_images: On examination in the supine position, she had a very prominent large caliber veins in the right vulva (Figure 1).
case_images: Intraoperative image showing the right saphenofemoral junction exposed (green arrow), normal diameter great saphenous vein (yellow arrow), and the large external pudendal vein (white arrow).
case_images: 10.1177_2050313X16672103-fig2.jpg
case_images: PMC5051671_01_10.1177_2050313X16672103-fig2.jpg
case_images: fig2-2050313X16672103
case_images: The GSV below its junction with EPV was with normal diameter (Figures 2 and 3).
case_images: Diagram showing saphenofemoral junction (green arrow), great saphenous vein (blue arrow), and superficial external pudendal vein (black arrow). (Adapted from Caggiati et al.25).
case_images: 10.1177_2050313X16672103-fig3.jpg
case_images: PMC5051671_01_10.1177_2050313X16672103-fig3.jpg
case_images: fig3-2050313X16672103
case_images: The GSV below its junction with EPV was with normal diameter (Figures 2 and 3).
case_images: Showing the right groin incision before final closure (black arrow) and vulval wound (white arrow).
case_images: 10.1177_2050313X16672103-fig4.jpg
case_images: PMC5051671_01_10.1177_2050313X16672103-fig4.jpg
case_images: fig4-2050313X16672103
case_images: Then, through a longitudinal incision in the right vulva, 2 cm lateral to its medial edge, the varices were either excised, avulsed, or ligated (Figure 4).