Advanced Biomedical Research
Phlegmasia cerulea dolens: A rare case report
Document Type : CASE REPORT
Authors
Department of Emergency Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
Abstract
Phlegmasia cerulea dolens is a severe form of deep venous thrombosis (DVT) characterized by severe venous outflow obstruction, marked limb swelling, pain, bluish discoloration, and even venous gangrene if the condition is untreated. In our case, 75-year-old woman, with general abdominal pain, which increases with eating and anorexia and 5 days of coldness and swelling of the left leg, was accepted. The patient had a history of Type II diabetes, ischemic heart disease, congestive heart failure, hyperlipidemic (HLP), hypertension, metastatic ovarian cancer, and previous DVT. She has undergone chemotherapy for the past 3 weeks due to ovarian cancers. Anticoagulation with intravenous administration of heparin and fluid resuscitation started immediately. The evidence of color Doppler sonography approved acute DVT in common femoral vein extending to the left external iliac. The patient did not consent for continuing the procedure in the hospital and succumbed to her illness on the 7th day after discharge.
Keywords
| 1. |
Chinsakchai K, Ten Duis K, Moll FL, de Borst GJ. Trends in management of phlegmasia cerulea dolens. Vasc Endovascular Surg 2011;45:5-14.  |
| 2. |
Bhatt S, Wehbe C, Dogra VS. Phlegmasia cerulea dolens. J Clin Ultrasound 2007;35:401-4. |
| 3. |
Lewis CB, Hensley MK, Barrett JE, van Norman SB, Taylor AS, Horowitz JC. Phlegmasia cerulea dolens: A rare cause of shock. Respirol Case Rep 2019;7:e00424. |
| 4. |
Maiti A, Das A, Smith DT. Phlegmasia cerulea dolens. Postgrad Med J 2016;92:690. |
| 5. |
Kalagher SD, Kane DD. Phlegmasia cerulea dolens: Before and after lysis. Intern Emerg Med 2015;10:103-4. |
| 6. |
Oguzkurt L, Ozkan U, Demirturk OS, Gur S. Endovascular treatment of phlegmasia cerulea dolens with impending venous gangrene: Manual aspiration thrombectomy as the first – Line thrombus removal method. Cardiovasc Intervent Radiol 2011;34:1214-21. |
| 7. |
Sarwar S, Narra S, Munir A. Phlegmasia cerulea dolens. Tex Heart Inst J 2009;36:76-7. |
| 8. |
Singh AD, Makkar N, Ray A, Sood R. Phlegmasia cerulea dolens presenting with acute compartment syndrome and pulmonary embolism. Case Reports 2018;2018:bcr-2018-224879.
|
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