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phlegmasia cerulea dolens

Clinical manifestations: - proximal deep vein thrombosis of a limb, with sudden severe pain & swelling, cyanosis & edema, - massive proximal DVTs involve both deep veins & collateral veins - increased venous stasis, extravasation of venous fluid into the interstitium, painful swelling & violaceous changes - arterial compromise (may result from compartment syndrome) * images [2] Complications: - reperfusion injury - acute renal failure - compartment syndrome - circulatory collapse & shock Management: - anticoagulation - fasciotomy for acute compartment syndrome - catheter-directed thrombolysis

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deep vein thrombosis (DVT)

General

phlegmasia

References

  1. Stedman's Medical Dictionary 26th ed, Williams & Wilkins, Baltimore, 1995
  2. Lai HT, Huang SH Phlegmasia Cerulea Dolens with Compartment Syndrome. N Engl J Med 2018; 378:658 PMID: 29443665 Free full text http://www.nejm.org/doi/full/10.1056/NEJMicm1704996