This is an aneurysmal dilatation in the saphenous vein. Large dilated veins can thrombose.

Many people that present with swelling and discoloration of the lower legs may have high pressure in the venous system secondary to abdominal

Lymphedema

Lymphedema refers to swelling in the legs due to abnormal flow of fluid through lymph vessels.

This patient has venous insufficiency of the saphenous vein and has 3 punctate injuries from thorns in a plant. They would not heal

If you have chronic venous insufficiency, consider reading the book ‘Say Goodbye to Varicose & Spider Veins Now,’ by Greg Martin, MD!

Ankle spider veins can be hard to clear. Reasons include higher venous pressure at the ankle, numerous venous inflow paths, and due to

 Senile purpura causes ecchymoses and results from increased vessel fragility due to connective tissue damage to the dermis caused by chronic sun exposure,