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Case Report
Online Published: 18 Apr 2019
 


Phlegmasia cerulea dolens in the Emergency Department: A case report

Juan Domingo Ly, Kevin Yang, Shantanu Warhadpande.


Abstract
Background:
Phlegmasia cerulea dolens is a rare form of deep venous thrombosis (DVT) characterized by massive thrombosis of the veins in a lower extremity. Presumptive diagnosis is made on clinical grounds and confirmed with a point-of-care ultrasound (POCUS). Diagnostic failure can lead to limb loss and even death.
Case:
We describe a case of a 38 year-old male who presented to the emergency department (ED) with painful cyanotic swelling of his right lower extremity. Clinical exam and POCUS confirmed the diagnosis of phlegmasia cerulea dolens. This patient was successfully treated with anticoagulation and endovascular thrombolytic therapy.
Conclusion:
This report emphasizes the importance of early diagnosis of the disease with POCUS, which can confirm the diagnosis of phlegmasia within minutes of clinical suspicion. Additionally, it describes the successful therapy with anticoagulation and endovascular thrombolysis.

Key words: Phlegmasia cerulea dolens, DVT, POCUS, Cellulitis, gangrene, phlegmasia alba, venous thrombosis, amputation, thrombectomy


 
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How to Cite this Article
Pubmed Style

Ly JD, Yang K, Warhadpande S. Phlegmasia cerulea dolens in the Emergency Department: A case report. Int J Med Rev Case Rep. 2019; 3(6): 346-349. doi:10.5455/IJMRCR.Phlegmasia-cerulea-dolens

Web Style

Ly JD, Yang K, Warhadpande S. Phlegmasia cerulea dolens in the Emergency Department: A case report. https://www.mdpub.net//?mno=25559 [Access: June 23, 2026]. doi:10.5455/IJMRCR.Phlegmasia-cerulea-dolens

AMA (American Medical Association) Style

Ly JD, Yang K, Warhadpande S. Phlegmasia cerulea dolens in the Emergency Department: A case report. Int J Med Rev Case Rep. 2019; 3(6): 346-349. doi:10.5455/IJMRCR.Phlegmasia-cerulea-dolens


Vancouver/ICMJE Style

Ly JD, Yang K, Warhadpande S. Phlegmasia cerulea dolens in the Emergency Department: A case report. Int J Med Rev Case Rep. (2019), [cited June 23, 2026]; 3(6): 346-349. doi:10.5455/IJMRCR.Phlegmasia-cerulea-dolens


Harvard Style

Ly, J. D. ., Yang, . K. . & Warhadpande, . S. . (2019) Phlegmasia cerulea dolens in the Emergency Department: A case report. Int J Med Rev Case Rep, 3 (6), 346-349. doi:10.5455/IJMRCR.Phlegmasia-cerulea-dolens


Turabian Style

Ly, Juan Domingo , Kevin Yang, and Shantanu Warhadpande. 2019. Phlegmasia cerulea dolens in the Emergency Department: A case report. International Journal of Medical Reviews and Case Reports, 3 (6), 346-349. doi:10.5455/IJMRCR.Phlegmasia-cerulea-dolens


Chicago Style

Ly, Juan Domingo , Kevin Yang, and Shantanu Warhadpande. "Phlegmasia cerulea dolens in the Emergency Department: A case report." International Journal of Medical Reviews and Case Reports 3 (2019), 346-349. doi:10.5455/IJMRCR.Phlegmasia-cerulea-dolens


MLA (The Modern Language Association) Style

Ly, Juan Domingo , Kevin Yang, and Shantanu Warhadpande. "Phlegmasia cerulea dolens in the Emergency Department: A case report." International Journal of Medical Reviews and Case Reports 3.6 (2019), 346-349. Print. doi:10.5455/IJMRCR.Phlegmasia-cerulea-dolens


APA (American Psychological Association) Style

Ly, J. D. ., Yang, . K. . & Warhadpande, . S. . (2019) Phlegmasia cerulea dolens in the Emergency Department: A case report. International Journal of Medical Reviews and Case Reports, 3 (6), 346-349. doi:10.5455/IJMRCR.Phlegmasia-cerulea-dolens


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