Phlegmasia cerulea dolens following internal hemipelvectomy: Case report and literature review

James A. Butterworth, Tam T. Huynh, Valerae O. Lewis, Edward I. Chang

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Phlegmasia cerulea dolens (PCD) results from near complete venous thrombosis and occlusion in an extremity resulting in pain, cyanosis, and edema and potentially death. While PCD can result from a variety of mechanisms including trauma, iatrogenic instrumentation, the majority of cases occur in the setting of malignancy. PCD is often managed medically with anticoagulation. However, in certain circumstances, surgical intervention may be warranted. Here, we present a unique case of phlegmasia cerulea dolens occurring following an internal hemipelvectomy requiring emergent surgical intervention to salvage life and limb. A review of the literature regarding diagnosis and treatment is also presented.

Original languageEnglish (US)
Pages (from-to)S68-S70
JournalInjury
Volume51
DOIs
StatePublished - Dec 2020

Keywords

  • Acute venous thrombosis
  • Open thrombectomy
  • Phlegmasia cerulea dolens

ASJC Scopus subject areas

  • Emergency Medicine
  • Orthopedics and Sports Medicine

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