• Tidsskr. Nor. Laegeforen. · Dec 1999

    Case Reports

    [Phlegmasia cerulea dolens as the initial symptom of abdominal aortic aneurysm].

    • R Eggum, B Lie, and P Stavis.
    • Karseksjonen Kirurgisk klinikk Buskerud sentralsykehus, Drammen.
    • Tidsskr. Nor. Laegeforen. 1999 Dec 10; 119 (30): 4460-1.

    AbstractPhlegmasia cerulea dolens is a serious condition and a result of central venous obstruction which can lead to venous gangrena and amputation of the affected limb. Multiple underlying conditions are described: malignant disease, trauma and hypercoagulable states such as heparin-induced thrombocytopenia, deficiency of protein C and antithrombin III. Phlegmasia cerulea dolens is also described as complication to insertion of a vena caval filter. We present a patient who developed phlegmasia cerulea dolens in his left lower limb as a result of an undiagnosed lumbal aortic aneurysm. To our knowledge this is the first report of phlegmasia cerulea dolens as the initial symptom of an abdominal aneurysm.

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