Dette er en forældet version offentliggjort d. 01-04-2019. Læs den seneste version.

Phlegmasia Cerulea Dolens

Mulig underliggende sygdom og risiko for amputation

Forfattere

  • Sanne Pedersen Bruun Ortopædkirurgisk afdeling, sygehus sønderjylland
  • Jens Ole Laursen FAM, Sygehus Sønderjylland

DOI:

https://doi.org/10.7146/akut.v2i2.110778

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

1) Mr. J. M. T. Perkins, T. R. Magee, R. B. Galland, Phlegmasia caerulea dolens and venous gangrene, Br J Surg. 1996 Jan;83(1):19-23. doi: 10.1002/bjs.18008301064

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
Specialist Int. 2016 Dec;32(4):201-204. doi: 10.5758/vsi.2016.32.4.201. Epub 2016
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
Surg. 2018 Aug;51:239-245. doi: 10.1016/j.avsg.2018.01.082. Epub 2018 Mar 5.

Publiceret

01-04-2019

Versioner

Citation/Eksport

Bruun, S. P., & Laursen, J. O. (2019). Phlegmasia Cerulea Dolens: Mulig underliggende sygdom og risiko for amputation. Dansk Tidsskrift for Akutmedicin, 2(2), 17–19. https://doi.org/10.7146/akut.v2i2.110778

Nummer

Årg. 2 Nr. 2 (2019): April 2019

Sektion

Case reports/Kasuistikker

Licens

Ophavsretten deles mellem forfatter og tidsskrift.