Phlegmasia Cerulea Dolens

Mulig underliggende sygdom og risiko for amputation

  • Sanne Pedersen Bruun Ortopædkirurgisk afdeling, sygehus sønderjylland
  • Jens Ole Laursen FAM, Sygehus Sønderjylland
Nøgleord: Amputation, Phlegmasia Cerulea Dolens, DVT, Antikoagulantia

Resumé

En 71-årig sund og rask herre med flere dages anamnese med mistanke om erysipelas, fik pludselig blåmarmoreret ve. ben og ikke palpapel puls i ve. ben. Han havde tidl. haft 2x AMI, og derfor var han i magnyl behandling. På baggrund af hans symptomer vurderede man at han havde Phlegmasia Cerulea Dolens (PCD), hvilket formodentlig reddede hans ben. Casen illustrerer hvorfor PCD kan mistolkes ved første øjekast, og hvorfor det er vigtigt at kunne diagnosticere det hurtigt.  

A 71 year old gentleman with no cronic illnesses, was suspected for having infektion in his leg. He suddenly got a blue leg and the pulse in a. dorsalis pedis was not possible to palpate. He have had 2 heartattacks earlier in his life and therefor he was on antithrombotic medicine. From the symptoms he was showing, they figured out fast it could be Phlegmasia Cerulea Dolens (PCD), which very well could have saved his leg from amputation. This case shows that PCD can me mistreated as another disease at first, and why its so very important to know about it and be able to give the diagnose rapidly.

Forfatterbiografier

Sanne Pedersen Bruun, Ortopædkirurgisk afdeling, sygehus sønderjylland

Reservelæge

Jens Ole Laursen, FAM, Sygehus Sønderjylland

Overlæge – forskningslektor for enheden for akutforskning, Sygehus Sønderjylland.

Associate professor in Emergency Medicine and Focused Research Unit in Emergency Medicine Institute for Regional Health Research,University of Southern Denmark.

specialeansvarlig ortopædkirurgi i akutcenteret, Sygehus Sønderjylland

Referencer

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2) Vysetti S1, Shinde S, Chaudhry S, Subramoney K. Phlegmasia cerulea dolens--a rare, life-threatening condition. ScientificWorldJournal. 2009 Oct 14;9:1105-6. doi:10.1100/tsw.2009.123.

3) Tardy B, Moulin N, Mismetti P, Decousus H, Laporte S. Intravenous thrombolytic therapy in patients with phlegmasia caerulea dolens. Haematologica. 2006 Feb;91(2):281-2. doi: (No doi)

4) Yang SS, Yun WS. Surgical Thrombectomy for Phlegmasia Cerulea Dolens. Vasc
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Dec 31.

5) Zhang X1, Chen Z2, Sun Y2, Xu M2. Surgical Thrombectomy and Simultaneous
Stenting for Phlegmasia Cerulea Dolens Caused by Iliac Vein Occlusion. Ann Vasc
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Publiceret
2019-04-01
Citation/Eksport
Bruun, S., & Laursen, J. (2019). Phlegmasia Cerulea Dolens. Dansk Tidsskrift for Akutmedicin, 2(2), 17-19. Hentet fra https://tidsskrift.dk/akut/article/view/110778
Sektion
Case reports