What does Phlegmasia Cerulea Dolens mean?
Phlegmasia cerulea dolens is an uncommon, severe form of deep venous thrombosis (blood clots in the vein). It most often occurs in the upper leg.
What causes Phlegmasia Alba Dolens?
Phlegmasia alba dolens, which translates to “painful white inflammation,” occurs when venous thrombosis progresses to a massive occlusion of the major deep venous system of the leg, but without ischemia as collateral veins are still patent.
What is Phlegmasia Cerulea Dolens discuss the clinical features?
Discussion. Phlegmasia cerulea dolens is a rare syndrome defined as a clinical triad of acute limb swelling, ischemic pain, and cyanosis. The pathogenesis begins with massive thrombosis causing total or near-total venous occlusion.
What is the difference between Phlegmasia Alba and Cerulea Dolens?
Phlegmasia alba dolens is distinguished, clinically, from phlegmasia cerulea dolens in that there is no ischemia and congestion. In severe cases of venous obstruction the arterial pulse may gradually disappear and venous gangrene may ensue.
Can DVT cause ischemia?
It is a rare life-threatening complication of acute proximal DVT. It can lead to impairment of the arterial circulation, which results in tissue ischemia or limb gangrene.
What is limb threatening thrombosis?
Blood clots in the legs or lungs, also known as deep venous thrombosis and pulmonary embolus, are life or limb-threatening complications of surgical procedures. These problems, collectively known as venous thromboembolism (VTE) are feared by clinicians.
Can DVT cause limb ischemia?
How is Cerulea Dolens diagnosed with Phlegmasia?
To make the correct diagnosis, 4 cardinal signs are necessary: edema, violaceous discoloration, pain, and severe venous outflow obstruction. Risk factors include malignancy, femoral vein catheterization, heparin-induced thrombocytopenia, antiphospholipid syndrome, surgery, heart failure, and pregnancy.