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VENOUS GANGRENE: REMINDING A VASCULAR CATASTROPHE
Pedro Novais Lima1, Joana Cruz Silva1, Anabela Gonçalves1
1Department of Angiology and Vascular Surgery, Centro Hospitalar Universitário de Coimbra, Portugal.
Portuguese Journal of Cardiac Thoracic and Vascular Surgery
|March 25, 2022
Summary
An elderly female patient with colon cancer developed extensive deep vein thrombosis (DVT) in her left leg. Despite prompt anticoagulation treatment, she unfortunately passed away within 72 hours.
Area of Science:
- Vascular Medicine
- Oncology
- Geriatrics
Background:
- Deep vein thrombosis (DVT) is a significant complication in elderly patients, particularly those with active malignancies.
- Colon neoplasm increases the risk of thromboembolic events.
- Ilio-femoral DVT can lead to severe limb ischemia and mortality.
Purpose of the Study:
- To report a case of extensive ilio-femoral deep vein thrombosis in an elderly female patient with active colon neoplasm.
- To highlight the rapid progression and poor prognosis of such cases despite timely intervention.
Main Methods:
- Case report of an 85-year-old female patient.
- Clinical presentation and diagnostic findings of extensive ilio-femoral deep vein thrombosis.
- Management with immediate anticoagulation.
Main Results:
- The patient presented with severe left lower limb edema and a cyanotic foot, indicative of acute limb ischemia.
- Despite immediate anticoagulation, the patient's condition deteriorated.
- The patient expired within 72 hours of diagnosis and treatment initiation.
Conclusions:
- Extensive ilio-femoral deep vein thrombosis associated with active colon neoplasm in the elderly carries a high mortality risk.
- Rapid progression and poor outcomes can occur even with prompt anticoagulation.
- This case underscores the critical nature of managing thromboembolic complications in frail, elderly cancer patients.
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