Abstract

YANEZ-LUQUE, Julio Enrique. Phlegmasia Cerulea Dolens: Case report. Rev Med Hered [online]. 2016, vol.27, n.3, pp.168-171. ISSN 1018-130X.

Phlegmasia cerulea dolens (phlebitis, cyanosis, pain) is a rare disease that uncommonly affects the upper limbs (5-10%). It is characterized by marked cyanosis, edema and severe pain caused by obstruction of the vein flow. The condition is reversible if treated on time; half of the cases may progress to limb gangrene with potential for losing the extremity. We present the case of a 48-year-old female patient who was admitted to the emergency room with severe abdominal pain, altered sensory status and marked cyanosis of the right hand. The diagnosis was methanol intoxication and phlegmasia cerulea dolens based on the findings of a Doppler ultrasound and angio CT scan. Fasciotomy was performed and enoxaparin was started with full recovery.

Keywords : Thrombophlebitis; venous thrombosis; amputation.

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