A 40-year old male belonging to northern India presented to the Emergency Department with multiple wounds on the feet. He had history of long standing swelling of both lower limbs. He had no recent episodes of fever. There was no history of easy fatigability, dyspnoea at rest or with exertion, cardiac illness, jaundice or chronic alcohol intake. There was no history of prolonged immobilization. He was not on any medication and had no previous surgical history. His hemoglobin was 15.3mg/dl, total leucocyte count was 5400/mm3 and liver and kidney functions were found to be normal.