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Nonhealing Venous Ulcers and Chronic Venous Outflow Obstruction

A Case Report

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  • 1 Department of Podiatric Medicine, Surgery, and Biomechanics and Western University Foot & Ankle Center, Western University of Health Sciences, College of Podiatric Medicine, Pomona, CA.
  • | 2 Department of Podiatric Medicine, Surgery, and Biomechanics, Western University of Health Sciences, College of Podiatric Medicine, Pomona, CA. Dr. Penera is now with HealthCare Partners Affiliate Medical Group, Huntington Beach, CA.
  • | 3 Department of Wound Care, Norwalk Hospital, Norwalk, CT.
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The etiology of chronic venous insufficiency is typically neglected or misunderstood when treating lower-extremity edema and venous ulcerations. Despite the high prevalence of venous compression syndromes, it is rarely considered when treating venous ulcers and unresolved venous disease. We report a case of bilateral iliac vein outflow obstruction that prohibited venous ulcer healing until properly treated. This case highlights the importance of properly identifying and treating venous compression syndromes to enhance ulcer healing and decrease the risk of venous ulcer recurrence.

Section of Vascular Surgery, Norwalk Hospital, Norwalk, CT.

Southern CT Vascular Center, Darien, CT.

Corresponding author: Jonathan Labovitz, DPM, Western University of Health Sciences, College of Podiatric Medicine, 309 E Second St, Pomona, CA 91766. (E-mail: jlabovitz@westernu.edu)