Patient history: A 43-year-old woman presents to the surgical outpatients with right leg swelling. This first appeared three weeks ago and has gradually increased such that she now finds it difficult to put on her shoe. She is otherwise without symptoms. There is no history of trauma to the limb. Apart from a tonsillectomy as a child, there is no past history of note. She is on an oral contraceptive pill. Physical examination: There is unilateral swelling of the right lower leg from the foot to just above the knee.
There is no associated erythema and no stigmata of venous disease. The edema pits when the skin is pressed. All pulses in the leg are palpable. The general examination is otherwise unremarkable. What are the diagnosis and treatment options for this patient? (Answer is posted in the comment section below!) * This case is from the Editorial team of Docplexus and is meant for…