Phlegmasia cerulea dolens – an uncommon but alarming manifestation of deep vein thrombosis

Author:

Nickler Manuela1,Haubitz Sebastian12,Méndez Adriana3,Gissler Martin4,Stierli Peter5,Kieback Arne6ORCID

Affiliation:

1. Medical University Department, Division of General Internal and Emergency Medicine, Kantonsspital Aarau, Aarau, Switzerland

2. Medical University Department, Division of Infectiology, Kantonsspital Aarau, Aarau, Switzerland

3. Department of Laboratory Medicine, Kantonsspital Aarau, Aarau, Switzerland

4. Department of Radiology, Kantonsspital Aarau, Aarau, Switzerland

5. Surgical Department, Division of Vascular Surgery, Kantonsspital Aarau, Aarau, Switzerland

6. Medical University Department, Division of Angiology, Kantonsspital Aarau, Aarau, Switzerland

Abstract

Summary: In phlegmasia cerulea dolens (PCD), immediate diagnosis and prompt treatment is crucial for limb salvage. Aggressive treatment options including venous intervention, thrombolysis and/or surgical thrombectomy should be considered. Due to the lack of data, the most appropriate intervention depends upon etiology of PCD, clinical presentation and patient’s bleeding risk.

Publisher

Hogrefe Publishing Group

Subject

Cardiology and Cardiovascular Medicine

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