Phlegmasia cerulea dolens secondary to an aortoiliac aneurysm
Phlegmasia cerulea dolens is an uncommon entity. We present a case of phlegmasia cerulea dolens secondary to an aortoiliac aneurysm that compressed the common iliac vein. Catheter-directed thrombolysis was not considered to be a suitable option, because the patient needed an urgent fasciotomy. The a...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2019-09-01
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| Series: | Journal of Vascular Surgery Cases and Innovative Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468428719300486 |
| _version_ | 1818611703817961472 |
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| author | Morten Vetrhus, MD, PhD Jørgen Bendik Vennesland, MD Samir Issa Othman Hasan, MD Lars Fjetland, MD, PhD |
| author_facet | Morten Vetrhus, MD, PhD Jørgen Bendik Vennesland, MD Samir Issa Othman Hasan, MD Lars Fjetland, MD, PhD |
| author_sort | Morten Vetrhus, MD, PhD |
| collection | DOAJ |
| description | Phlegmasia cerulea dolens is an uncommon entity. We present a case of phlegmasia cerulea dolens secondary to an aortoiliac aneurysm that compressed the common iliac vein. Catheter-directed thrombolysis was not considered to be a suitable option, because the patient needed an urgent fasciotomy. The aneurysm was treated with a bifurcated stent graft and the thrombosed veins were opened with pharmacomechanical thrombectomy and recombinant tissue plasminogen activator. The reopened iliac veins, including an aneurysmal external iliac vein, were stented and fasciotomy was performed. Pharmacomechanical thrombectomy can be performed with a low dose of recombinant tissue plasminogen activator and allows for subsequent surgery. Keywords: Phlegmasia cerulea dolens, Pharmacomechanical thrombectomy, Abdominal aortic aneurysm, Venous obstruction, Compartment syndrome |
| first_indexed | 2024-12-16T15:34:33Z |
| format | Article |
| id | doaj.art-19b4565c564d4c768c899b340f3907b4 |
| institution | Directory Open Access Journal |
| issn | 2468-4287 |
| language | English |
| last_indexed | 2024-12-16T15:34:33Z |
| publishDate | 2019-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Vascular Surgery Cases and Innovative Techniques |
| spelling | doaj.art-19b4565c564d4c768c899b340f3907b42022-12-21T22:26:15ZengElsevierJournal of Vascular Surgery Cases and Innovative Techniques2468-42872019-09-0153278282Phlegmasia cerulea dolens secondary to an aortoiliac aneurysmMorten Vetrhus, MD, PhD0Jørgen Bendik Vennesland, MD1Samir Issa Othman Hasan, MD2Lars Fjetland, MD, PhD3Vascular Surgery Unit, Department of Surgery, Stavanger University Hospital, Stavanger, Norway; Department of Clinical Science, University of Bergen, Bergen, Norway; Correspondence: Morten Vetrhus, MD, PhD, Vascular Surgery Unit, Department of Surgery, Stavanger University Hospital, PO Box 8100, 4068 Stavanger, NorwayVascular Surgery Unit, Department of Surgery, Stavanger University Hospital, Stavanger, NorwayInterventional Radiology Unit, Department of Radiology, Stavanger University Hospital, Stavanger, NorwayInterventional Radiology Unit, Department of Radiology, Stavanger University Hospital, Stavanger, NorwayPhlegmasia cerulea dolens is an uncommon entity. We present a case of phlegmasia cerulea dolens secondary to an aortoiliac aneurysm that compressed the common iliac vein. Catheter-directed thrombolysis was not considered to be a suitable option, because the patient needed an urgent fasciotomy. The aneurysm was treated with a bifurcated stent graft and the thrombosed veins were opened with pharmacomechanical thrombectomy and recombinant tissue plasminogen activator. The reopened iliac veins, including an aneurysmal external iliac vein, were stented and fasciotomy was performed. Pharmacomechanical thrombectomy can be performed with a low dose of recombinant tissue plasminogen activator and allows for subsequent surgery. Keywords: Phlegmasia cerulea dolens, Pharmacomechanical thrombectomy, Abdominal aortic aneurysm, Venous obstruction, Compartment syndromehttp://www.sciencedirect.com/science/article/pii/S2468428719300486 |
| spellingShingle | Morten Vetrhus, MD, PhD Jørgen Bendik Vennesland, MD Samir Issa Othman Hasan, MD Lars Fjetland, MD, PhD Phlegmasia cerulea dolens secondary to an aortoiliac aneurysm Journal of Vascular Surgery Cases and Innovative Techniques |
| title | Phlegmasia cerulea dolens secondary to an aortoiliac aneurysm |
| title_full | Phlegmasia cerulea dolens secondary to an aortoiliac aneurysm |
| title_fullStr | Phlegmasia cerulea dolens secondary to an aortoiliac aneurysm |
| title_full_unstemmed | Phlegmasia cerulea dolens secondary to an aortoiliac aneurysm |
| title_short | Phlegmasia cerulea dolens secondary to an aortoiliac aneurysm |
| title_sort | phlegmasia cerulea dolens secondary to an aortoiliac aneurysm |
| url | http://www.sciencedirect.com/science/article/pii/S2468428719300486 |
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