Phlegmasia Cerulea Dolens: A Life-Threatening Manifestation of Deep Vein Thrombosis

被引:10
作者
Kou, Chung-ting J. [1 ]
Batzlaff, Caitlin [1 ]
Bezzant, Matthew L. [1 ]
Sjulin, Tyson [2 ]
机构
[1] Brooke Army Med Ctr, Internal Med, Ft Sam Houston, TX 78234 USA
[2] Brooke Army Med Ctr, Pulm Crit Care, Ft Sam Houston, TX 78234 USA
关键词
venous thrombosis; deep venous thrombosis; phlegmasia cerulea dolens; endovascular catheter-directed thrombolysis; gangrene; thrombectomy; CATHETER-DIRECTED THROMBOLYSIS;
D O I
10.7759/cureus.8587
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Deep vein thrombosis is a common condition encounter by hospitalists and managed by either oral or intravenous anti-coagulation. Although uncommon, phlegmasia cerulea dolens (PCD) is a life-threatening manifestation of acute deep vein thrombosis requiring early recognition and aggressive intervention to preserve life and limb. PCD is characterized by marked swelling of the lower extremities with pain and cyanosis, which often leads to gangrene and amputation. We present the case of a patient who developed PCD of her left lower extremity who was successfully treated with an EkoSonicT endovascular catheter (Boston Scientific, Marlborough, MA, USA), which accelerates lytic dispersion of the thrombolytic drug through ultrasound technology.
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页数:10
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