Phlegmasia cerulea dolens secondary to an aortoiliac aneurysm

被引：2

作者：

Vetrhus, Morten ^{[1
,3
]}

Vennesland, Jorgen Bendik ^{[1
]}

Hasan, Samir Issa Othman ^{[2
]}

Fjetland, Lars ^{[2
]}

机构：

[1] Stavanger Univ Hosp, Dept Surg, Vasc Surg Unit, POB 8100, N-4068 Stavanger, Norway

[2] Stavanger Univ Hosp, Dept Radiol, Intervent Radiol Unit, Stavanger, Norway

[3] Univ Bergen, Dept Clin Sci, Bergen, Norway

来源：

JOURNAL OF VASCULAR SURGERY CASES AND INNOVATIVE TECHNIQUES | 2019年 / 5卷 / 03期

关键词：

Phlegmasia cerulea dolens; Pharmacomechanical thrombectomy; Abdominal aortic aneurysm; Venous obstruction; Compartment syndrome; PHARMACOMECHANICAL THROMBOLYSIS; THROMBECTOMY;

D O I：

10.1016/j.jvscit.2019.03.008

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Phlegmasia cerulea dolens is an uncommon entity. We present a case of phlegmasia cerulea dolens secondary to an aortoiliac aneurysm that compressed the common iliac vein. Catheter-directed thrombolysis was not considered to be a suitable option, because the patient needed an urgent fasciotomy. The aneurysm was treated with a bifurcated stent graft and the thrombosed veins were opened with pharmacomechanical thrombectomy and recombinant tissue plasminogen activator. The reopened iliac veins, including an aneurysmal external iliac vein, were stented and fasciotomy was performed. Pharmacomechanical thrombectomy can be performed with a low dose of recombinant tissue plasminogen activator and allows for subsequent surgery.

引用

页码：278 / 282

页数：5

共 11 条

[1] Phlegmasia Cerulea Dolens as an Unusual Presentation of Ruptured Abdominal Aortic Aneurysm into the Inferior Vena Cava [J].