[The soleus syndrome. Apropos of 3 cases of intermittent claudication of venous origin].
The typical case present with a unilateral, atypical claudication with discrete oedema, occurring after repeated exercise. These paradoxical features of venous pain, aggravation with attacks, resolution after prolonged rest and the absence of arterial signs are suggestive of the disease. The syndrome may present as repeated calf thromboses or recurrent varicose veins suggesting some deep obstruction. An inflammatory and oedematous process linked to exercise is associated with a congenital predisposition: a constriction of the venous arcade at the insertion of the soleus. Phlebography confirms the absence of thrombophlebitis and shows underlying stasis and poor opacification of the deep popliteal and, most importantly, anterior hooking and actual kinking of the vein on the lateral film which persists on mild flexion. A simple surgical procedure to free the vein turns this incapacitating and potentially thrombogenic pathology into a benign condition.


BACKGROUND
Therapeutic modalities for ischaemic atrophy in its acutely painful phase or the exceptional use of corticotherapy in phlebology.
D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D007383:Intermittent Claudication / Q000209:etiology* / Q000503:physiopathology / Q000601:surgery; D007866:Leg / Q000098:blood supply*; D009132:Muscles / Q000098:blood supply*; D010690:Phlebography; D005082:Physical Exertion; D011152:Popliteal Vein / Q000000981:diagnostic imaging / Q000503:physiopathology; D013577:Syndrome; D014680:Veins / Q000503:physiopathology
Le syndrome du soléaire. A propos de trois cas de claudication intermittente d'origine veineuse.