Successful Endovascular Management of Post-Traumatic Phlegmasia Cerulea Dolens from Rupture of the External Iliac Vein

We report a rare case of a 47-year-old male with posttraumatic phlegmasia cerulea dolens caused by a ruptured right external iliac vein and treated with an endovascular venous stent graft. The patient was the victim of motor vehicle accident, and suffered direct injuries to the head and abdomen. The...

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Main Authors: Chan Yong Park, Hyun Min Cho, Kwang Hee Yeo, June Pill Seok, Chan Kyu Lee
Format: Article
Language:English
Published: Korean Society of Acute Care Surgery 2017-10-01
Series:Journal of Acute Care Surgery
Subjects:
Online Access:http://www.jacs.or.kr/upload/pdf/jacs-7-87.pdf
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author Chan Yong Park
Hyun Min Cho
Kwang Hee Yeo
June Pill Seok
Chan Kyu Lee
author_facet Chan Yong Park
Hyun Min Cho
Kwang Hee Yeo
June Pill Seok
Chan Kyu Lee
author_sort Chan Yong Park
collection DOAJ
description We report a rare case of a 47-year-old male with posttraumatic phlegmasia cerulea dolens caused by a ruptured right external iliac vein and treated with an endovascular venous stent graft. The patient was the victim of motor vehicle accident, and suffered direct injuries to the head and abdomen. The patient had a cyanotic and swollen right lower leg. Abdominal and lower extremity computed tomography angiography revealed a large retroperitoneal hematoma caused by a ruptured right external iliac vein, and grade I liver injury. The right external iliac vein rupture was successfully treated with a venous stent graft, followed by inferior vena cava filtering, because a venous thrombus was identified below the stent graft. He initially was hemodynamically unstable but recovered following treatment. The patient was comatose when presenting at the emergency department. He was discharged, fully recovered, on hospital day 18.
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spelling doaj.art-70055a01cba2470681eae482de3feecc2023-09-18T06:42:45ZengKorean Society of Acute Care SurgeryJournal of Acute Care Surgery2288-58622288-95822017-10-0172878910.17479/jacs.2017.7.2.8753Successful Endovascular Management of Post-Traumatic Phlegmasia Cerulea Dolens from Rupture of the External Iliac VeinChan Yong Park0Hyun Min Cho1Kwang Hee Yeo2June Pill Seok3Chan Kyu Lee4 Department of Trauma Surgery, Pusan National University Hospital, Busan, Korea Department of Trauma Surgery, Pusan National University Hospital, Busan, Korea Department of Trauma Surgery, Pusan National University Hospital, Busan, Korea Department of Trauma Surgery, Pusan National University Hospital, Busan, Korea Department of Trauma Surgery, Pusan National University Hospital, Busan, Korea We report a rare case of a 47-year-old male with posttraumatic phlegmasia cerulea dolens caused by a ruptured right external iliac vein and treated with an endovascular venous stent graft. The patient was the victim of motor vehicle accident, and suffered direct injuries to the head and abdomen. The patient had a cyanotic and swollen right lower leg. Abdominal and lower extremity computed tomography angiography revealed a large retroperitoneal hematoma caused by a ruptured right external iliac vein, and grade I liver injury. The right external iliac vein rupture was successfully treated with a venous stent graft, followed by inferior vena cava filtering, because a venous thrombus was identified below the stent graft. He initially was hemodynamically unstable but recovered following treatment. The patient was comatose when presenting at the emergency department. He was discharged, fully recovered, on hospital day 18.http://www.jacs.or.kr/upload/pdf/jacs-7-87.pdfposttraumatic phlegmasia cerulea dolensruptured external iliac veinendovascular venous stent graftinferior vena cava filteringvenous thrombus
spellingShingle Chan Yong Park
Hyun Min Cho
Kwang Hee Yeo
June Pill Seok
Chan Kyu Lee
Successful Endovascular Management of Post-Traumatic Phlegmasia Cerulea Dolens from Rupture of the External Iliac Vein
Journal of Acute Care Surgery
posttraumatic phlegmasia cerulea dolens
ruptured external iliac vein
endovascular venous stent graft
inferior vena cava filtering
venous thrombus
title Successful Endovascular Management of Post-Traumatic Phlegmasia Cerulea Dolens from Rupture of the External Iliac Vein
title_full Successful Endovascular Management of Post-Traumatic Phlegmasia Cerulea Dolens from Rupture of the External Iliac Vein
title_fullStr Successful Endovascular Management of Post-Traumatic Phlegmasia Cerulea Dolens from Rupture of the External Iliac Vein
title_full_unstemmed Successful Endovascular Management of Post-Traumatic Phlegmasia Cerulea Dolens from Rupture of the External Iliac Vein
title_short Successful Endovascular Management of Post-Traumatic Phlegmasia Cerulea Dolens from Rupture of the External Iliac Vein
title_sort successful endovascular management of post traumatic phlegmasia cerulea dolens from rupture of the external iliac vein
topic posttraumatic phlegmasia cerulea dolens
ruptured external iliac vein
endovascular venous stent graft
inferior vena cava filtering
venous thrombus
url http://www.jacs.or.kr/upload/pdf/jacs-7-87.pdf
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AT kwangheeyeo successfulendovascularmanagementofposttraumaticphlegmasiaceruleadolensfromruptureoftheexternaliliacvein
AT junepillseok successfulendovascularmanagementofposttraumaticphlegmasiaceruleadolensfromruptureoftheexternaliliacvein
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