Varacose Vein from Lower Leg Puncture?

You seem to have done all the right things to control the bleeding with elevation, pressure and wrapping.  The next step is to see a vein specialist for a full venous evaluation.  I am not sure if you were bleeding from a varicose or spider vein.  The treatment of each is quite different.  You should have a venous ultrasound and reflux exam which will show the status of your veins.  Varicose veins are usually due to leaking valves which can be corrected with a laser, while spider veins are often treated with sclerotherapy.

Such bleeding is due to venous hypertension and erosion of the vein into the dermis - this is potentially dangerous and recurrence is high. You need Duplex venous scan to rule out truncal venous reflux (saphenofemoral and saphenopopliteal) as well as perforator venous rreflux which occurs in the lower leg and ankle areas. You may need EVLT, Venefit procedure or ClariVein as well as sclerotherapy with foam. Seek a consultation from a Board Certified Phlebologist.

Thank you for your question.  I would recommend immediate evaluation by a vascular surgeon.  You likely have varicose veins with venous reflux, a condition that causes high pressure buildup in the skin veins of the legs.  A break in the skin can lead to alot of blood loss as you described, since the veins are under abnormal high venous pressure.  An ultrasound will be able to diagnose the condition.  You did the correct thing in holding pressure and placing a pressure bandage to stop the bleeding, but the bleeding could restart when the bandage is removed.  Sometimes a doctor will need to place a suture in the skin to permanently stop the bleeding.  Then the underlying vein disease would need to be treated by a vascular surgeon, based on the results of the ultrasound of your leg veins.  A visit to the doctor as soon as possible would be advised in order to avoid recurrent bleeding or infection and to get the cause addressed as soon as possible.