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Phlegmasia cerulea dolens--a rare, life-threatening condition
S Vysetti1, S Shinde, S Chaudhry
1Department of Internal Medicine, University of Illinois, Urbana-Champaign, IL, USA. vysetti@uiuc.edu
Thescientificworldjournal
|October 20, 2009
Summary
Phlegmasia cerulea dolens, a severe form of deep vein thrombosis, can cause limb-threatening complications. Prompt diagnosis and treatment, including anticoagulation and thrombectomy, are crucial for successful outcomes.
Area of Science:
- Vascular Surgery
- Hematology
- Oncology
Background:
- Phlegmasia cerulea dolens (PCD) is a rare, severe venous thrombosis.
- It presents with lower extremity pain, edema, and cyanosis.
- PCD can lead to venous gangrene, circulatory collapse, and death if untreated.
Observation:
- A 55-year-old man with cholangiocarcinoma presented with left lower extremity pain.
- Physical exam revealed painful swelling and purple discoloration.
- Doppler ultrasound showed extensive bilateral deep vein thrombosis.
Findings:
- Anticoagulation with heparin was initiated.
- Emergency left iliac thrombectomy was performed.
- An inferior vena cava filter was placed prophylactically.
Implications:
- Successful limb salvage and symptom resolution were achieved.
- Highlights the importance of timely intervention in PCD.
- Demonstrates effective management in a patient with underlying malignancy.
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