Images in Vascular Medicine

A 27-year-old previously healthy male presented with a 2-month history of persistent, unexplained pain and swelling within his right calf

Steven Dean, DO, FACP, RPVI, FSVMB

Note: The figures used in this study were published in Vascular Medicine 2006;11(4):278-279, and are reproduced with permission from SAGE.

A 27-year-old previously healthy male presented with a 2-month history of persistent, unexplained pain and swelling within his right calf. His signs and symptoms worsened with exercise and only partially improved with elevation. An examination was remarkable for a swollen, mildly tender right calf measuring 3 cm larger in diameter than the left calf. An extensive evaluation prior to his presentation was unrevealing. A diagnostic procedure was performed [panels A & B].

Panel A	Panel B