Vasc Spec Int.  2016 Dec;32(4):201-204. 10.5758/vsi.2016.32.4.201.

Surgical Thrombectomy for Phlegmasia Cerulea Dolens

Affiliations
  • 1Division of Transplantation and Vascular Surgery, Department of Surgery, Yeungnam University Medical Center, Yeungnam University College of Medicine, Daegu, Korea. wsyun@me.com wsyun@ynu.ac.kr

Abstract

Phlegmasia cerulea dolens (PCD) is a medical emergency that can lead to venous gangrene of the lower extremity. Early diagnosis and prompt treatment is crucial for limb salvage. There are two treatment options (endovascular or surgical). In the endovascular era, catheter-directed thrombolysis is the treatment of choice to achieve venous outflow. However, surgical thrombectomy is indicated in certain cases. The authors report successful surgical thrombectomy in a 75-year-old man with PCD and review the treatment of PCD.

Keyword

Venous thrombosis; Thrombectomy; Gangrene

MeSH Terms

Aged
Early Diagnosis
Emergencies
Gangrene
Humans
Limb Salvage
Lower Extremity
Thrombectomy*
Venous Thrombosis
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