RT Book, Section A1 Pascarella, Luigi A1 Shortell, Cynthia K. A2 Dean, Steven M. A2 Satiani, Bhagwan A2 Abraham, William T. SR Print(0) ID 1105290011 T1 CONGENITAL VASCULAR ANOMALIES OF THE UPPER EXTREMITY T2 Color Atlas and Synopsis of Vascular Diseases YR 2015 FD 2015 PB McGraw-Hill Medical PP New York, NY SN 9780071749541 LK accesssurgery.mhmedical.com/content.aspx?aid=1105290011 RD 2024/03/29 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.