TY - CHAP M1 - Book, Section TI - CONGENITAL VASCULAR ANOMALIES OF THE UPPER EXTREMITY A1 - Pascarella, Luigi A1 - Shortell, Cynthia K. A2 - Dean, Steven M. A2 - Satiani, Bhagwan A2 - Abraham, William T. PY - 2015 T2 - Color Atlas and Synopsis of Vascular Diseases AB - A 32-year-old man presents with right lower extremity edema, pain, lipodermatosclerosis, and history of recurrent right ankle ulcers. Physical examination demonstrates port-wine stains overlying his right upper and lower extremity, as well as the right hemithorax and abdomen (Figure 17-1). He states that these lesions have been present since birth. A clear asymmetry of his lower extremity is also noted with the right leg being larger than the left. Some soft tissue masses are also present, mainly in his lower extremity with an overlying cutaneous bluish discoloration. A duplex ultrasound documents a heterogeneous network of hypoechoic vessels with monophasic flow patterns and an incompetent great saphenous vein that is feeding many of the dilated venous structures. The deep venous system is normal and intact. SN - PB - McGraw-Hill Medical CY - New York, NY Y2 - 2024/03/28 UR - accesssurgery.mhmedical.com/content.aspx?aid=1105290011 ER -