2020 Volume 29 Issue 5 Pages 329-332
If venous stasis ulcer is accompanied by deep vein thrombosis after endovascular ablation for varicose vein, the symptoms are severe and intractable. We experienced a case of severe leg ulcer completely cured by compression therapy and exercise therapy with receiving an anticoagulant drug. A 62-year-old man with hemorrhagic gastro-duodenal ulcer required emergency hemostasis treatment. He complained asthma taking steroids, diabetes, chronic renal failure and a hyper-obesity body with a body mass index of 42.2. Bilateral lower leg intractable stasis ulcers were observed. Five months ago, he underwent endovascular ablation therapy for venous stasis skin ulcer at a special vein clinic. At the time of visit to our hospital, an old thrombus in both popliteal vein and severe leg skin ulcers were found. MRSA infection was also present. Daily compression therapy with elastic bandage, daily lavage and appropriate debridement of the wound, weight loss and daily locomotion exercise resulted in complete healing of ulcers by 4 months. We report that tenacious compression therapy and exercise therapy are effective for lower leg stasis skin ulcer.
