Treatment of Phlegmasia Cerulea Dolens with Thrombolysis; Case report.
Journal Title: Revista Cuarzo - Year 2018, Vol 24, Issue 2
Abstract
The Flegmasia Cerulea Dolens is a rare and severe complication of deep venous thrombosis, which manifests clinically with profuse edema, pain and cyanosis of the affected lower limb. The massive obstruction of the venous system is an increase in the pressure of the limb compartments, which compromises the arterial circulation. Your treatment should be aggressive to avoid gangrene and / or death. We present the case of a patient treated at La Sagrada Familia Clinic, Armenia - Colom-bia, who consulted for clinical picture of progressive edema in left lower limb, finding ischemic changes in distal phalanges and grade III edema in left lower limb, with report of duplex venous with deep left iliofemoral venous thrombosis and arterial duplex with reduction of arterial flow secondary to severe soft tissue edema, phlebography with venous thrombolysis is indicated by regional catheter in left lower limb with continuous thrombolytic infusion. With the respective an-giographic controls at 24 and 48 hours with 80% recanalization of the iliac, femoral and popliteal veins, the infusion was interrupted and the catheter was withdrawn, anticoagulation with unfrac-tionated heparin was continued until oral anticoagulation was administered, the hospital discharge was performed given its satisfactory evolution
Authors and Affiliations
Peña, L. , Mora Posada, L. , Hernández Forero, C. , & Villegas González, F.
Keywords
Related Articles
- EP ID EP694640
- DOI https://doi.org/10.26752/cuarzo.v24.n2.355
- Views 127
- Downloads 0
A Therapeutic Alternative in the Management of Fibromyalgia
IntroductIon: Fibromyalgia is a condition that affects up to 5% of the population and causes significant deterioration of the quality of life for the sufferer, so it is a therapeutic challenge. The objective of the prese...
Alteration of mental state, a case report
The altered state of consciousness is an issue that can be related with several entities, diagnosis and therefore the appropriate handling relays on the adequate approach to the patient who comes to ER serv...
A new way to produce knolewdge
Dr. Martha Fregoso Vergara begins the conference “A NEW WAY TO PRODUCE KNOWLEDGE”, raising questions to the audience, in order to promote reflection regarding their con-cept of education, research, educational research,...
Autologous fat Lipoinjection for Aesthetic Purposes
Introduction. Autologous fat lipoinjection for aesthetic purposes is one of the youngest techniques that allow solving problems related to values concerning personal choices that point towards beauty, it is a simple surg...
Effect of justicia polygonoides kunth extract in adults with generalized anxiety disorder. Unidad de terapia integral Jorge Piñeros Corpas
The anxiety disorder has a high prevalence in Colombia and it affects during the lifetime to 19.5% of population over 18 years old. The collateral effects limit the use of chemical synthesis medication; therefore ther...