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Lessons learned from a case of phlegmasia cerulea dolens treated with thrombolysis and iliac vein stenting.
J Surg Case Rep
December 2024
Department of Vascular Surgery, Singapore General Hospital, Academia Level, Outram Rd, Singapore.
Phlegmasia cerulea dolens is a rare manifestation of massive deep vein thrombosis with threat to limb and life. A patient with a background of ovarian malignancy in remission and pelvic radiotherapy presented with left lower limb phlegmasia cerulea dolens as a result of extensive acute left lower limb deep vein thrombosis, extending from the popliteal vein to the inferior vena cava. While initial rapid thrombolysis and left iliac vein stenting were successful, she developed significant hemorrhagic complications from her right radial intra-arterial line with compartment syndrome requiring fasciotomy.
View Article and Find Full Text PDFEndovascular treatment of upper limb phlegmasia cerulea dolens in a hemodialysis patient.
J Vasc Access
December 2024
Interventional Radiology Unit, Department of Medical Imaging, University Hospital of Heraklion, Heraklion, Greece.
Phlegmasia cerulea dolens (PCD) is a rare but limb-threatening complication of deep vein thrombosis. A 72-year-old hemodialysis male patient presented with upper limb PCD. The patient underwent hemodialysis via a permanent hemodialysis central venous catheter (HD-CVC) while a new brachial-cephalic AVF was created 1 month ago.
View Article and Find Full Text PDFCase report of simultaneous phlegmasia cerulea dolens and acute limb ischemia.
Int J Surg Case Rep
December 2024
Department of Vascular surgery, University hospital of Bratislava, Faculty of Medicine - Comenius University, Slovak Republic.
Article Synopsis
- Phlegmasia cerulea dolens (PCD) is a serious condition caused by massive deep vein thrombosis that can threaten both life and limbs, often requiring urgent treatment options such as endovascular therapy or surgical embolectomy in specific cases.
- A patient case illustrated simultaneous PCD with acute limb ischemia, showing symptoms like abdominal pain, cyanosis, and motor deficits, leading to a successful combined surgical embolectomy to resolve the issues.
- This report emphasizes that there are no formal guidelines for treating PCD and stresses the necessity for personalized treatment strategies and comprehensive care access.
Managing Phlegmasia Cerulea Dolens in a Rare Combination of Vascular Anomalies.
Eur J Vasc Endovasc Surg
October 2024
Serviço de Angiologia e Cirurgia Vascular, Unidade Local de Saúde Gaia e Espinho, Vila Nova de Gaia, Portugal.
Deep Venous Thrombosis Within a Complete Duplication of the Left Femoral Vein.
Cureus
June 2024
General Surgery, Trumbull Regional Medical Center, Warren, USA.
Venous duplications, particularly in the femoral vein, are rare anatomical variations that can complicate the clinical presentation and management of deep venous thrombosis (DVT). This case describes an elderly female who was diagnosed by her primary care physician with a left lower extremity DVT one week prior to her presentation and had been prescribed Xarelto. Despite strict adherence to therapy, her left leg pain, swelling, and discoloration worsened, prompting her hospital admission.
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