Phlegmasia Cerulea Dolens with Compartment Syndrome

Area of Science:

• Vascular Medicine
• Thrombotic Disorders

Background:

• Venous thromboembolism (VTE) poses a significant global health burden, encompassing deep vein thrombosis (DVT) and pulmonary embolism (PE).
• Phlegmasia cerulea dolens (PCD) is a rare but severe DVT complication, characterized by extreme limb swelling, pain, and cyanosis.
• PCD can rapidly progress to arterial ischemia, gangrene, and high rates of amputation and mortality.

Purpose of the Study:

• To highlight the critical nature of phlegmasia cerulea dolens (PCD) as a DVT complication.
• To emphasize the necessity of prompt and effective therapeutic interventions for PCD patients.

Main Methods:

• Literature review of PCD cases and treatment outcomes.
• Analysis of clinical presentations and management strategies for acute DVT with PCD.

Main Results:

• PCD is associated with severe venous obstruction and potential arterial compromise.
• Delayed treatment of PCD correlates with increased risk of limb loss and mortality.

Conclusions:

• Timely diagnosis and aggressive treatment are paramount for managing PCD.
• Effective VTE management strategies are crucial for improving patient outcomes and limb salvage in PCD.