AI Article Synopsis
- Phlegmasia cerulea dolens (PCD) is a serious condition resulting from blocked venous blood flow, potentially leading to limb loss.
- A case study highlighted a patient with an arteriovenous fistula caused by a ruptured iliac artery aneurysm, which first showed symptoms of left PCD and kidney failure.
- Immediate surgical intervention to remove the aneurysm and repair the fistula significantly improved both PCD and kidney function, indicating the importance of recognizing iliac AVF as a possible cause of PCD.
Article Abstract
Phlegmasia cerulea dolens (PCD) is caused by obstruction of limb venous return that may result in venous gangrene and limb loss. We present a case of a fistula between a ruptured right common iliac artery aneurysm and the left common iliac vein (ilioiliac arteriovenous fistula [AVF]), which initially manifested as left PCD and acute renal failure. Resection of the aneurysm and repair of the AVF immediately improved the PCD and acute renal failure. We should be aware that an iliac AVF might present as PCD and should keep this in mind.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6355442 | PMC |
| http://dx.doi.org/10.1016/j.jvscit.2018.11.004 | DOI Listing |
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