Resumo

BRAVO YEPEZ, Cristian Vinicio et al. Chronic venous insufficiency in a patient with double greater saphenous vein: Case report. Vive Rev. Salud [online]. 2025, vol.8, n.23, pp.500-509.  Epub 01-Maio-2025. ISSN 2664-3243.  https://doi.org/10.33996/revistavive.v8i23.392.

Chronic venous insufficiency is a pathology with a high prevalence worldwide, one of its main complications is varicose ulcers in the lower limbs, which is one of the frequent reasons for consultation by patients of working age, which represents a public health problem and a challenge in terms of taking timely therapeutic measures in the management of the pathology. The case of a 35-year-old patient with no relevant pathological history is presented, in whom conservative treatment of a varicose ulcer is performed by placing an Unna boot, wet dressings with antiseptic solutions and an Aquacel Ag patch weekly for 4 months. Additionally, the patient received treatment based on elastic stockings with moderate compression 15 to 20 mmHg, diosmin 1000 mg orally every day, and calcium dobesilate 500 mg every day for 3 weeks. After 2 months of the ulcer being closed, the patient went to the consultation again when he noticed that part of the ulcer had not shown improvement, which is why it was classified as CEAP 5S. The resolution of the case had a particular impact when ultrasound noted the double saphenous system. patient's age, which is an anatomical variant that could predispose to varicose recurrences, which was not the case since an adequate intervention was achieved with radiofrequency ablation and ultrasound-guided sclerotherapy in the patient, with subsequent satisfactory evolution in clinical and aesthetic terms.

Palavras-chave : Venous insufficiency; Varicose ulcer; Radiofrequency Ablation; Sclerotherapy.

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