An 85yearold woman with newly diagnosed metastatic nonsmallcell lung cancer was admitted for pain. 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. Phlegmasia cerulean dolens is a severe form of deep venous thrombosis. Phlegmasia cerulea dolens with vg is the lethal form of the entity and responds poorly to established therapy. If you do not see its contents the file may be temporarily unavailable at the journal website or you do not. A case of phlegmasia cerulea dolens somasamudra p broomfield hospital, chelmsford, united kingdom. Phlegmasia cerulea dolens pcd is a rare form of massive venous thrombosis of the lower extremities associated with a high degree of morbidity including venous gangrene, compartment syndrome, and arterial compromise. Most cases described encompass the lower extremities.
Successful treatment of posttraumatic phlegmasia cerulea. Phelgmasia cerulea dolens pcd is a rare cause of shock that can complicate deep venous thrombosis and carries a high risk of mortality. Phlegmasia alba dolens and the relation of the lymphatics. Future therapeutic trials need to consider aggressive use of thrombolysis. In phlegmasia cerulea dolens the primary lesion is the thrombosis within the. Phlegmasia cerula dolens is a grave complication of deep thrombophlebitis, characterized by a sudden massive venous occlusion which simulates arterial embolism in its.
Phlegmasia cerulea dolens phlegmasia erulea dolens pd erulea means lue referred to as painful lue leg rare condition that occurs in file should load here. Phlegmasia alba and cerulea dolens are rare diseases along a spectrum of deep venous thromboses. Here we report a rare case of posttraumatic phlegmasia cerulea dolens after ligation of the iliac vein to save the patients life, with successful treatment by reconstructing the external iliac. Acousticassisted catheterdirected thrombolytic therapy. Links to pubmed are also available for selected references. Phlegmasia alba dolens definition of phlegmasia alba. Pdf phlegmasia cerulea dolens a rare, lifethreatening.
Phlegmasia cerulea dolens phlegmasia dolens following influenza. Lewis and charles short 1879 a latin dictionary, oxford. Phlegmasia cerulea dolens is a rare form of massive proximal e. It is liable to occur in individuals of young adult life and middle age, who are for any. Phlegmasia coerulea dolensphlegmasia cerulea dolens. Advances in the treatment of phlegmasia cerulea dolens. Phlegmasia cerulea dolens is a rare but severe form of deep venous thrombosis which results from extensive thrombotic occlusion of the major extremity veins and their collaterals. Pcd is the term used to describe lowerextremity dvt that causes limb ischemia, and is characterized by severe swelling and blue. Phlegmasia cerulea dolens a limb threatening problem. Phlegmasia cerulea dolens pcd is a rare disease entity involving complete thrombotic occlusion of venous outflow in an extremity, and is considered a vascular emergency. Pdf phlegmasia cerulea dolens is a rare form of massive proximal venous thrombosis of the lower extremities associated with a high degree of. Phlegmasia cerulea dolens pcd is a fulminant condition of acute massive venous thrombosis that may. Get a printable copy pdf file of the complete article 745k, or click on a page image below to browse page by page.
Phlegmasia cerulea dolens request pdf researchgate. Phlegmasia cerulea dolens is preceded by a condition called phlegmasia alba dolens. This occurs when the leg is swollen and white due to a clot in a deep vein that blocks blood flow. Phlegmasia alba dolens pad describes the patient with swollen and white leg because of early compromise of arterial flow secondary to. Phlegmasia alba dolens also colloquially known as milk leg or white leg is part of a spectrum of diseases related to deep vein thrombosis. Phlegmasia cerulea dolens pcd, also called the blue phlebitis, is usually described as the association of sudden ischemic pain, limb swelling, and cyanosis. Images in clinical medicine from the new england journal of medicine phlegmasia cerulea dolens with compartment syndrome. Massive venous thrombosis is a dramatic event of surgical practice with vivid manifestations of excruciating pain, extensive fluid loss into the affected extremity, and. Get a printable copy pdf file of the complete article 745k, or click on a page image below to browse page by. Phlegmasia cerulea dolens with compartment syndrome nejm. Phlegmasia alba dolens, which translates to painful white inflammation, occurs.
It is characterized by sudden severe pain, swelling, cyanosis and edema of the affected limb. Phlegmasia cerulea dolens american journal of medicine. Phlegmasia cerulea dolens with compartment syndrome ncbi. The icd10cm alphabetical index is designed to allow medical coders to look up various medical terms and connect them with the. Phlegmasia cerulean dolens is a severe form of deep venous thrombosis characterized by severe venous outflow obstruction, marked limb swelling, pain, bluish. Historically, it was commonly seen during pregnancy. Pronunciation of phlegmasia cerulea dolens with 1 audio pronunciation, 1 meaning, 2 translations and more for phlegmasia. Pcd is defined as phlegmasia cerulea dolens frequently. Scvir, 1995 phlegmasia cerulea dolens pcd is a fulminant form of peripheral venous thrombosis characterized by massive edema, severe pain, and.
Full text full text is available as a scanned copy of the original print version. Phlegmasia cerulea dolens pcd is an uncommon, fulminant condition of acute massive venous thrombosis that may lead to venous gangrene unless it is treated in an early phase. Phlegmasia cerulea dolens pcd is a rare form of massive venous thrombosis of the lower extremities associated with a high degree of morbidity including venous gangrene. Phlegmasia cerulea dolens pcd is a rare venous disorder that continues to be a major therapeutic challenge.
Phlegmasia cerulea dolens definition of phlegmasia. Successful use of dextran in phlegmasia cerulea dolens. Phlegmasia cerulea dolens pcd is a severe presentation of massive dvt, and it is often associated with extremity catheterdirected thrombolytic therapy in deep venous thrombosis of the lower extremity. Endovascular treatment of phlegmasia cerulea dolens with impending venous gangrene. Phlegmasia cerulea dolens pcd is a severe presentation of massive dvt, and it is often associated with extremity catheterdirected thrombolytic therapy in deep venous thrombosis. Phlegmasia cerulea dolens is an uncommon, severe form of deep venous thrombosis blood clots in the vein.