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Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski, Gospodin Iliev
ISSN: 1312-773X (Online)
Issue: Volume 15, book 1, 2009
Subject Collection: Medicine
Page: 89 - 91
DOI: 10.5272/jimab.1512009_89
Online date: Oct. 07, 2009,
PHLEGMASIA CERULEA DOLENCE- RISK FACTORS AND PREVENTION. /CASE REPORT/
Ludmil
M. Veltchev1, Manol A. Kalniev2, Todor A. Todorov3
1) Fellow, Master’s Program in Hepatobiliary Pancreatic Surgery, Henri
Bismuth Hepatobiliary Institute; 2) Department of Anatomy, Cytology and
Histology, University of Medicine, Sofia, Bulgaria; 3) Department
of Pathology, University of Medicine, Sofia, Bulgaria.
ABSTRACT: Phlegmasia cerulean dolens is a severe form of deep venous thrombosis characterized by severe venous outflow obstruction, marked limb swelling, pain, bluish discoloration, and even venous gangrene, if the condition is untreated. Etiological factors include malignancy, femoral vein catheterization, heparin-induced thrombocytopenia, antiphospholipid syndrome, surgery, heart failure, and pregnancy.
In our case, 71 year-old woman, with twenty three years treated diabetes mellitus was accepted for GI imaging study for suspicions of neoplastic process of stomach. On the third day she complained of edema, agonizing pain and cyanosis, many blisters and starting necrosis on the dorsal and lateral surface of right ankle, progressively extended to distal one third of leg. Anticoagulation with intravenous administration of heparin, and fluid resuscitation started immediately.
Key words:venous thrombosis, venous gangrene, anticoagulation, amputation.
Page: 89-91; FULL TEXT PDF (165 KB)