A healthy 69-year-old man presented to the cardiovascular surgery outpatient department with a 20-year history of right leg swelling and varicose veins (Figure A). He denied experiencing resting pain and had no bad habits such as smoking or alcohol consumption. His vital signs were normal. On physical examination, a palpable vein was noted with no redness, heat, or pain. Peripheral sonography revealed engorgement of the great saphenous vein. The laboratory results showed no significant findings except for a Para-Bombay blood group type A. Due to concerns about abdominal vessel disease, a computed tomography scan was performed, identifying an aneurysm in the abdominal aorta (Figure B) and common iliac artery? (Figure C), along with compression of the inferior vena cava and right common iliac vein.