A case of phlegmesia cerulea dolens after dialysis catheter insertion.

Mufarrij, Afif Jean; Hitti, Eveline

Phlegmesia cerulea dolens (PCD) is a rare complication of deep vein thrombosis characterized by massive venous thrombosis leading to arterial compromise and tissue ischaemia. PCD carries high morbidity and mortality and is an often times overlooked cause of acute limb ischaemia that must be recognized and treated promptly. Early referral for percutaneous catheter directed thrombectomy offers an alternative to thrombolysis in patients who present with venous gangrene or fail anticoagulation therapy. A case of PCD is presented in a 71-year-old woman with end-stage renal disease 3 days after right femoral dialysis catheter placement.

VENOUS thrombosis treatment; CATHETERIZATION; CHRONIC kidney failure; DIFFERENTIAL diagnosis; LEG; VENOUS thrombosis; THROMBOSIS; VEIN surgery; DIALYSIS catheters

Emergency Medicine Australasia, 2011, Vol 23, Issue 5, p644

1742-6731

Academic Journal

10.1111/j.1742-6723.2011.01438.x