Phlegmasia cerulea dolens (literally: painful blue edema) is an uncommon severe form of deep venous thrombosis which results from extensive thrombotic. Phlegmasia alba dolens is part of a spectrum of diseases related to deep vein thrombosis. Historically, it was commonly seen during pregnancy and in mothers . The diagnosis of phlegmasia cerulea dolens was made. Systemic and local tissue-plasminogen activator infusion and AngioJet® thrombectomy (AngioJet®.

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Started inthis collection now contains interlinked topic pages divided into a tree of 31 specialty books and chapters.

Search other sites for ‘Phlegmasia’. Journal List Perm J cerullea. Concepts Disease or Syndrome T SnomedCTEnglish Milk-leg, non puerperalnonpuerperal; milk legphlegmasia; alba dolens, nonpuerperalalba dolens; phlegmasia, nonpuerperal Dutch alba dolens; phlegmasia, niet-puerperaalniet-puerperaal; kraambeenphlegmasia; alba dolens, niet-puerperaal.

Images in Emergency Medicine: Phlegmasia Cerulea Dolens

A Text-book of Obstetrics. The pathogenesis of venous limb gangrene associated with heparin-induced thrombocytopenia. Ann Vasc Surg ;12 cwrulea Footnotes Address for reprints: On the 2nd day of hospitalization, the patient’s mental status deteriorated.

The cause in our patient could have been the rapid reversal of anticoagulation in the setting of decreased mobility and a generalized inflammatory state due to bacteremia.

This page was last edited on 15 Octoberat Phlegmasia cerulea dolens literally: Phlegmasia coerulea dolensPhlegmasia cerulea dolens. Vasc Endovascular Surg ;39 5: Search Bing for all related images.

Definition MSH Inflammation that is characterized by swollen, pale, and painful limb. Syndromes associated with the deep veins: Although access to this website is not restricted, the information found here is intended for use by medical providers. Bidirectional relation between inflammation and coagulation.

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Phlegmasia cerulea dolens

Flegmasia Alba DolensPhlegmasia alba dolens. Two of their HIT patients developed phlegmasia cerulea dolens that went on to become gangrenous. Comment Phlegmasia cerulean dolens is a severe form of deep venous crulea characterized by severe venous outflow obstruction, marked limb swelling, pain, bluish discoloration, and even venous gangrene if the condition is untreated. Intervention is usually required in order to prevent gangrene.

Phlegmasia alba dolens

Inflammations Vascular diseases Circulatory disease stubs. In cases of pregnancy, it is most often seen during the third trimester, resulting from a compression of the left common iliac vein against the pelvic rim by the fegmasia uterus. Historically, it was commonly seen during pregnancy and in mothers who have just given birth.

It is a sudden glegmasia process. Articles needing additional medical references from August All articles needing additional references Articles requiring reliable medical sources Infobox medical condition new All articles with unsourced statements Articles with unsourced statements from August Articles to be expanded from September All articles to be expanded Articles with empty sections from September All articles with empty sections Articles using small message boxes All stub articles.

Pathophysiology Phlegmasia Milk Leg Venous outflow obstruction Typically left sided due to left common iliac vein course beneath the left common iliac artery Progression along a spectrum Phlegmasia Alba Dolens Phlegmasia Cerulea Dolens Venous Gangrene Phlegmasia Alba Dolens Painful white leg Proximal deep volens obstruction Phlegmasia Cerulea Dolens Triad of painful blue leg with edema Pain out of proportion to appearance Deep vein and collateral or superficial vein obstruction Results in venous congestion edema which distinguishes it from Phlegmasia Alba Dolens Venous Gangrene Thrombosis extends into the capillaries.


The development of a standard treatment for phlegmasia cerulea dolens is ongoing. Phlegmasia cerulean dolens is a severe form of deep venous fflegmasia characterized by severe venous outflow obstruction, marked limb swelling, pain, bluish discoloration, and even venous gangrene if the condition is untreated. Tex Heart Inst J. A year-old man was admitted to the hospital for severe community-acquired pneumonia. Retrieved January 16, Please review our privacy fletmasia.

The next step in the disease progression is occlusion of the superficial venous dolesn, thereby preventing all venous outflow from the extremity. By using this site, you agree to the Terms of Use and Privacy Policy.

Phlegmasia alba dolensphlegmasia alba dolens. Vascular and Endovascular Surgery. The leg becomes more swollen and increasingly more painful. Open in a separate window.

We started the patient on antibiotics and withheld the warfarin. The superficial system is not adequate to handle the large volume of blood being delivered to the leg via the arterial system. Additionally, the edema and loss of venous outflow impedes the arterial inflow.

Flegmasia – Wikipédia, a enciclopédia livre

Phlegmasia cerulea dolens A person with a two hour history of phlegmasia cerulea dolens left leg, right side of image Phlegmasia cerulea dolens literally: It is at this stage that it is called phlegmasia alba dolens. Acknowledgments The authors thank Drs. He had a history of chronic obstructive pulmonary disease and atrial fibrillation and was on do,ens warfarin therapy.