Darius Aw Kang Lie,Jack Kian Chng,Yuxin Guo,
Endovascular Treatment in a Case of Phelgmasia Cerulean Doleans
American Journal of Surgical Case Reports
2019
2674-5046
http://dx.doi.org/10.31487/j.AJSCR.2019.01.02
https://www.sciencerepository.org/endovascular-treatment-in-a-case_AJSCR-2019-1-102 
Abstract: Background: Phlegmasia cerulean dolens (PCD) is an uncommon and severe manifestation of massive
proximal venous thrombosis of the lower extremities associated with a high degree of morbidity and
mortality.
Case: We describe a case of a 67-year-old gentleman with metastatic gastric neuroendocrine tumour, who
developed PCD of his left lower limb. He underwent endovascular thrombectomy with thrombolysis and
stent placement with good effect.
Discussion: Characterised by severe venous outflow obstruction, marked limb swelling, pain and
discolouration, PCD can lead to venous gangrene, congestion with massive fluid sequestration and
circulatory collapse if left untreated. Various treatment modalities were reported with varying outcomes,
morbidity and mortality.
Conclusion: A multifaceted approach to PCD may be required for successful limb salvage, taking into
account the risks and benefits of each treatment modality.
Keywords: Pelgmasia cerulean doleans, venous thrombosis, thrombectomy, stenting, thrombolysis