Abstract
A 64-year-old female presented with multiple corporal varicose veins, more prominent on the left than the right side (A). She was referred after review of a benign left breast lump (likely to be a thrombosed varix), with peri-lesion intra-mammary varices noted on magnetic resonance imaging (B). A lower limb venous duplex scan showed left common femoral vein and bilateral saphenofemoral junction incompetence. She had no significant truncal varices or lower limb oedema. Significantly, she had had a retroperitoneal leiomyoma resected with supra-renal inferior vena cava ligation 30 years previously, and the corporal varices effectively represent inferior vena cava-to-superior vena cava venous collateralisation.
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