Summary
Background: The causal therapy of a venous leg ulcer is a therapeutic challenge in obese patients.
Method: Based on a case report, the procedure is demonstrated: Sourcing can be used to detect
ulcer-relevant varices even in severe obesity and to successfully foam-sclerose them.
Results: The successful sclerotherapy of the sourcing-relevant varices has no effect on ulcer
healing. Conclusion: Stigmata of chronic venous insufficiency are found in obese patients as a result
of obesity, so that weight loss can be considered a causal therapy. In our case, one
can speak of an ulcer adiposo-venosum.
English version available at: www.phlebologieonline.de
Keywords
Obesity - leg ulcers - chronic venous insuffi ciency - foam sclerotherapy
