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Emerg Med Australas · Oct 2011
Case ReportsA case of phlegmesia cerulea dolens after dialysis catheter insertion.
- Afif Jean Mufarrij and Eveline Hitti.
- Department of Emergency Medicine, American University of Beirut Medical Center, Riad El-Solh/Beirut, Lebanon.
- Emerg Med Australas. 2011 Oct 1;23(5):644-6.
AbstractPhlegmesia 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.© 2011 The Authors. EMA © 2011 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine.
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