Suppurative Thrombophlebitis of Great Saphenous Vein after Endovenous Laser Ablation

Endovenous laser ablation (EVLA) is a minimally invasive technique used to treat superficial venous reflux. The technique proved its safety and efficiency and became the standard of care for patients with chronic venous disease with lower rates of complications compared to open surgery. We present a 68-year-old female with C5 stage of chronic vein insufficiency who underwent EVLA of the great saphenous vein. On the 5 th day, she developed fever and pain, tenderness, and redness on the medial side of the treated upper leg with fluctuations in some places. Urgent incisions and radical debridement with extensive drainage were made. After intensive daily local wound treatment and antibiotic therapy, signs and symptoms resolved, and she was fully ambulatory with satisfactory postoperative findings. We point out that aggressive surgical treatment is the main goal in the treatment of patients with suppurative thrombophlebitis, and antibiotic therapy results in complete healing and resolution of this rare, but life-threatening complication.