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Phlegmasia cerulea dolens of the upper extremity treated with anticoagulation and leech therapy

Julian Melchor1, Kenneth Leong2, Jeffrey B Edwards3

  • 1Sarasota Regional Medical School Campus, Florida State University College of Medicine, Sarasota, FL.

Journal of Vascular Surgery Cases and Innovative Techniques
|September 28, 2023
PubMed

Phlegmasia cerulea dolens is a serious manifestation of venous thrombosis that has a high risk of morbidity and mortality. If not promptly treated on presentation, progressive extremity ischemia and potential gangrene can lead to emergency amputation of the affected limb. Most commonly, the lower extremities are affected, and reports of upper extremity phlegmasia are scarce. We report the successful treatment of phlegmasia cerulea dolens of the distal upper extremity using leech therapy combined with anticoagulation.

Keywords:
Deep vein thrombosisLeech therapyPhlegmasia cerulea dolensPhlegmsiaUpper extremity

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