Venous Stasis and Ulceration Due to Congenital Absence of Inferior Vena Cava

ABSTRACT

Congenital absence of inferior vena cava is an uncommon abnormality. With advent of modern imaging techniques such cases are being found with increasing frequency. I report the case of an otherwise healthy 44-year-old man with severe venous insufficiency involving both lower extremities manifested by multiple ulcerations. This condition was caused by a combination of congenital and acquired factors. Ulcerations were managed successfully with aggressive conservative treatment.