What is the treatment for phlegmasia cerulea dolens?

Phlegmasia cerulea dolens occurs when there is decreased perfusion to a leg owing to deep venous thrombosis (DVT). This is an uncommon presentation of DVT and is characterized by acute onset of severe nonpitting edema, cyanosis and pain of a lower extremity.


Initial treatment entails heparin +/- thrombolytic therapy, IVC filter and surgical thrombectomy. Consult vascular surgery. Without treatment, gangrene develops over 4-8 days.


Source

Irwin & Rippe's Intensive Care Medicine

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