Anomalous intraosseous venous drainage with bone edema and periosteal reaction: A rare entity to be aware of

Abstract

Varicose veins are associated with conditions that impair venous return, such as pregnancy, physical inactivity, valve failure and post-thrombotic syndrome. We report the case of a 50-year-old female patient with history of intermittent calf pain, worsening with prolonged standing posture. She had no previous medical history of either lower extremity trauma or infection. Physical examination showed medial pretibial soft tissue swelling. CT and MRI showed images suggestive of anomalous intraosseous venous drainage with associated bone edema and periosteal reaction. Knowledge of this rare entity is fundamental for proper patient management.

Keywords

• Pretibial varices
• Anomalous intraosseous venous drainage
• Bone marrow edema
• Periosteal reaction
• Musculoskeletal radiology