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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Format: | Article |
Language: | English |
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Korean Society of Acute Care Surgery
2017-10-01
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Series: | Journal of Acute Care Surgery |
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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. |
first_indexed | 2024-03-11T23:58:08Z |
format | Article |
id | doaj.art-70055a01cba2470681eae482de3feecc |
institution | Directory Open Access Journal |
issn | 2288-5862 2288-9582 |
language | English |
last_indexed | 2024-03-11T23:58:08Z |
publishDate | 2017-10-01 |
publisher | Korean Society of Acute Care Surgery |
record_format | Article |
series | Journal of Acute Care Surgery |
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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