Hemorrhagic Corona Phlebectatica Successfully Treated with Sclerotherapy: A Report of 2 Cases

Abstract

Case 1 was a woman in her seventies who underwent left leg varicose vein surgery 19 years ago. She presented to our department with sudden swelling of the left ankle and spouting hemorrhage while using the toilet. She was diagnosed using the CEAP classification C1,2r,4c,s, Ep, Asp, Pr, GSVb, GAV. Case 2 was a woman in her sixties who underwent right leg varicose vein surgery 14 years ago. She reported bleeding from the right epicondyle while taking a bath and visited our department the day after bleeding was stopped using a towel. She was diagnosed using the CEAP classification C1, 2r, 4a, c, s, Ep, Adp, Pr, POPV, CPV. Both patients were treated with foam sclerotherapy and recovered.Both patients presented with Grade 2 corona phlebectatica with insufficient perforating veins of lower legs, presumably because of increased venous pressure and venous dilatation caused by toilet or bathing leading to bleeding. Based on the above case findings, it is important to recognize that corona phlebectatica is an advanced form of venous disease.