Introduction Varicose veins of the lower limb are a common clinical condition, often associated with significant morbidity due to pain, edema, and cosmetic concerns. Incompetence at the saphenofemoral junction (SFJ) is a key pathological factor leading to reflux in the great saphenous vein (GSV). Surgical management remains a reliable option, particularly in resource-limited settings. Case Presentation A middle-aged male presented with complaints of pain, heaviness, and visibly dilated veins over the right lower limb for the past several months.
Symptoms were aggravated by prolonged standing and relieved partially with rest and limb elevation. On clinical examination, dilated, tortuous veins were noted along the medial aspect of the right leg and thigh. There were no active ulcers, but early skin changes suggestive of chronic venous insufficiency were present. Color Doppler ultrasound…