Phlegmasia caerulea dolens secondary to pelvic plasmacytoma and left femoral deep vein thrombosis

Abstract

PCD has a high mortality and morbidity. Recognition is important to avoid an incorrect diagnosis of arterial occlusion and inappropriate surgical intervention. Treatment must be focused on removing the offending causes.

Perioperative Venous Thromboembolism

“…While both are surgical emergencies, phlegmasia alba dolens is associated with a much lower risk of major amputation than phlegmasia cerulea dolens [33]. If not treated promptly and aggressively, venous gangrene can develop, which carries a 20-50% amputation rate and a 20-40% mortality rate [21]. Patients who present with phlegmasia alba or phlegmasia cerulean dolens are best treated with therapeutic anticoagulation and thrombus removal [30].…”