Case of Phlegmasia Cerulea Dolens

Abstract

IMkEDICAL JOURNAL to have " fallen back in a faint " each time she attempted to sit up, but she was not completely unconscious, since she was capable of understanding what was said to her. She was cold and shocked and pallid when the vertigo occurred. The next day she was able to sit up in bed without vertigo, and no nystagmus was present. She was " light-headed " for about two weeks after this attack, and sudden movement produced mild vertigo. Case 6 This case is of special interest in that the patient was a next-door neighbour of Case 4. It is of interest, too, because the onset of his symptoms was just over 48 hours after that of his neighbour. A history of contact is available: on the morning of January 10, 1952, the patient sent for medical aid for Case 4. He then went into his neighbour's house to inform him that the doctor would soon arrive, and spent about five minutes in conversation. The patient, a man aged 49, went to the cinema with his wife in the afternoon of January 12. To use his own words, he "felt as fit as a fiddle." After about half an hour he suddenly found that the screen was " beginning to

Phlegmasia Caerulea Dolens

“…DeBakey and Ochsner (1949) suggested the name phlegmasia caerulea dolens, and this seems an adequately descriptive term. Since then further cases have been reported (Clain and Nussbaum, 1950;Haimovici, 1950;Veal et al, 1951 ;Miles, 1951Turner, 1952. Causation…”

Phlegmasia Cerulea Dolens

“…The arterial pulses of the limb are often impalpable and sensory disturbances are not unknown, making differentiation from acute arterial blockage difficult, and few cases have had the arteries to the limb unnecessarily explored, (De Bakey and Oschner 1949). Death occurs in a number of cases, usually from a marked circulatory failure, which occurs not infrequently (Turner 1952). The loss of the limb or portion of the limb is a common sequel as gangrenous changes frequently take place (Miles 1951).…”

Classification of deep vein thrombosis stages using convolutional neural network of electromyogram with vibrotactile stimulation toward developing an early diagnostic tool: A preliminary study on a pig model

“…That means that other venous channels except for the common iliac vein and superficial veins were maintained. Our animal model did not indicate an extremely severe form of deep venous thrombosis that has obstructions in both deep and superficial venous outflow, so-called phlegmasia cerulean dolens in humans (the most severe form of DVT) because the significant changes in the IP and tissue PP like phlegmasia cerulean dolens were not seen [ 39 , 41 ]. Because these are very similar conditions to completely obstructive symptomatic proximal DVT in humans, our model is suitable for this study.…”

“…The elastic band's tension was adjusted to block superficial venous flow without affecting the femoral arterial and other deep vein flow. During our pilot study for developing our animal model, any changes did not occur in the pigs' limbs even after 8 hours of common iliac vein ligation; nevertheless, most occlusive proximal DVT induces symptoms such as swelling and cyanosis in human extremities [8,[38][39][40][41][42]. That means that it was not enough to induce a similar venous outflow blockade to completely obstructive symptomatic proximal DVT of humans with only common iliac vein ligation because pigs had better-developed collateral venous channels than humans [43].…”