The ugly face of deep vein thrombosis: Phlegmasia Cerulea Do
Phlegmasia Cerulea Dolens (PCD), a rare & life-­‐threatening condition caused by a massive deep venous thrombosis that is associated with arterial occlusion caused by the subsequent compartment syndrome.

A 56-­‐year-­‐old male was diagnosed as a case of extensive femoral DVT & pulmonary embolism. Two days after being managed by systemic thrombolytics & heparin, his condition worsened as he developed cyanosis of the affected limb, compartment syndrome & foot drop so he was referred to our facility for further management. CT venogram showed a thrombosis of the left popliteal vein extending into the left common iliac vein confirming the diagnosis of PCD & May-­‐Turner syndrome. We adopted a limb preserving approach using a pharmacomechanical catheter directed thrombolysis (PCDT). The patient recovered fully with a complete resolution of his foot drop.

Source: International Journal of Surgery case reports

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