Synonym(s)
acute massive venous occlusion (Veal); Phlegmasia rubra dolens Sowing knife; Pseudoembolic Nicole; Venous occlusion acute massive
DefinitionThis 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 featuresThis 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.
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DiagnosisThis section has been translated automatically.
Complication(s)This section has been translated automatically.
volume deficiency shock, rhabdomyolysis with acute renal failure, gangrene
TherapyThis 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.
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Incoming links (6)
Arm vein thrombosis paget-von-schroetter; Arterial occlusive disease peripheral acute; Compression therapy; Phlegmasia rubra dolens; Phlegmasia rubra dolens sowing knife; Venous occlusion, acute massive;Outgoing links (5)
Fibrinolytics; Gangrene; Hypaesthesia; Ultrasonic doppler examination; Venous thrombosis deep in the lower extremity;Disclaimer
Please ask your physician for a reliable diagnosis. This website is only meant as a reference.
Authors
Last updated on: 29.10.2020
Author: 
Prof. Dr. med. Peter Altmeyer
Co-Autor: 
Dr. med. Conrad Hempel