Phlegmasia coerulea dolens - Altmeyers Encyclopedia

Synonym(s)

acute massive venous occlusion (Veal); Phlegmasia rubra dolens Sowing knife; Pseudoembolic Nicole; Venous occlusion acute massive

Definition
This section has been translated automatically.

Massive phlebothrombosis, especially in the iliac or femoral veins with stasis-related ischemia of the microcirculation (venous reflux blocked) Rarely arterial-ischemic syndrome grafted.

Clinical features
This section has been translated automatically.

Acute painful swelling of a limb with increasing cyanotic discoloration (phlébite bleue), motor weakness and moderate hypaesthesia. As a consequence, rapid development of the cyanotic edema and development of gangrene. Signs of hypovolemic shock. Increasing anaemia.

You might also be interested in

Advertisment

Vascular medicine

Phlebothrombosis. Recanalized thrombosed vessel. Elastica van Gieson stain.

Venous thrombosis deep in the lo...

Sudden or gradual, partial or complete occlusion of at least one segment of the deep veins of the pelvis an...

Diagnosis
This section has been translated automatically.

Ultrasound Doppler examination.

Complication(s)
This section has been translated automatically.

volume deficiency shock, rhabdomyolysis with acute renal failure, gangrene

Therapy
This section has been translated automatically.

Intensive medical care. Thrombectomy with Fogarty catheter by surgeons, embolism protection with V. cava-clip.S.a. phlebothrombosis.alternatively: fibrinolysis therapy (see below fibrinolytics). Post-operative anticoagulation (Marcumar) for at least 6 months. Ultima ratio: border zone amputation.