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Successful Treatment of Phlegmasia Cerulea Dolens by Surgical Thrombectomy: A Case Report

Tomofumi Fukuda1, Kosuke Saku1, Koki Nakamura1

  • 1Cardiovascular Surgery, St. Mary's Hospital, Kurume, JPN.

Cureus
|February 10, 2026
PubMed

Insights

Phlegmasia cerulea dolens (PCD), a severe deep vein thrombosis, can mimic arterial occlusion. Contrast-enhanced CT effectively diagnosed PCD in an elderly patient, enabling successful surgical and anticoagulant treatment.

Area of Science:

  • Vascular Surgery
  • Radiology
  • Emergency Medicine

Background:

  • Phlegmasia cerulea dolens (PCD) is a rare but life-threatening complication of deep vein thrombosis (DVT).
  • PCD presents with clinical signs that can be mistaken for acute arterial occlusion, necessitating accurate diagnostic methods.
  • Timely and correct diagnosis is crucial for effective patient management and limb salvage.

Keywords:
acute limb ischemiacyanosisdeep vein thrombosisphlegmasia cerulea dolensthrombectomy

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