Case of primary deep venous reflux.

A 36-year old gentleman from Western Samoa has had recurrent venous ulcerations of both legs that first began when he was 15 years old. He has had at least 15 recurrent ulcers mainly on the anterior and lateral aspect of the right lower leg. He has not been able to work for the past 4 years because of painful, large ulcerations of the right leg. His weight is 340 pounds. He has normal pulses in his foot arteries.