TABLE 2

Clinical features of chronic venous outflow obstruction

Swelling affecting the whole leg, including the pelvis, groin, and hip
Venous claudication, often described as pain and heaviness of the whole leg that may be associated with shortness of breath and tiredness on walking due to reduced venous return
Persistent features of chronic venous insufficiency such as nonhealing venous ulcers despite adequate treatment, or absence of superficial and deep venous incompetence
History of venous thromboembolism, central venous catheterization, abdominal or pelvic surgery, and recreational intravenous drug use
The presence of dilated collateral veins in the groin, genitalia, abdomen, and pelvis