Aetiology
: A laceration of the lesser saphenous vein at the lower leg level is most commonly caused by a sharp object, such as a knife or glass shard, cutting the skin and severing the vein. It can also be caused by blunt trauma to the vein, such as from a kick or a fall.
Diagnosis
: The diagnosis of a laceration of the lesser saphenous vein can be made by physical examination and imaging studies, such as an ultrasound. The area around the laceration may be swollen and tender, and the laceration itself may be visible. If there is any associated bleeding, it may require further diagnostic testing, such as a CT scan.
Differential diagnosis
: The differential diagnosis of a laceration of the lesser saphenous vein includes other causes of leg pain and swelling, such as deep vein thrombosis, compartment syndrome, and thrombophlebitis.
Treatment
: Treatment for a laceration of the lesser saphenous vein typically involves surgical repair of the laceration. The procedure may require the use of a stent to ensure proper healing and to prevent further damage to the vein. Once the laceration is repaired, the patient may be prescribed antibiotics to prevent infection and anticoagulants to prevent clotting.
Prognosis
: The prognosis for a laceration of the lesser saphenous vein is generally good, as long as the laceration is properly treated. With proper treatment, the laceration should heal and the patient should experience no further complications.