Advanced testicular cancer presenting with phlegmasia cerulea dolens

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Phlegmasia cerulea dolens.

GANGRENE and eyanosis of an extremity, due to thrombophlebitis with massive venous occlusions, is an uncommon condition and is often confused with primary arterial oeclusive disease. With massive venous occlusion and the associated arterial venospasm the blood flow may be so impeded to an extremity that cyanosis and eventually gangrene may occur. The recognition of this is important, since this...

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Phlegmasia Cerulea Dolens

GANGRENE and eyanosis of an extremity, due to thrombophlebitis with massive venous occlusions, is an uncommon condition and is often confused with primary arterial oeclusive disease. With massive venous occlusion and the associated arterial venospasm the blood flow may be so impeded to an extremity that cyanosis and eventually gangrene may occur. The recognition of this is important, since this...

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[Phlegmasia cerulea dolens].

BACKGROUND Herein we report a case of phlegmasia cerulea dolens, a form of venous thrombosis complicated by arterial ischaemia. PATIENTS AND METHODS A 69-year-old man presented a bilateral trophic condition of the lower limbs that had appeared 3 weeks earlier. The patient had a history of metastatic urothelial bladder carcinoma and arteritis. Clinical examination revealed right leg ulcers wit...

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[Phlegmasia cerulea dolens in patients with testicular carcinoma].

We describe a case of phlegmasia cerulea dolens secondary to venous thrombosis due to compression of inferior vena cava, in a 31-year-old man with a germ cell tumour. He was treated with systemic thrombolytic agents, intravenous heparin and urgent chemotherapy He presented a complete tumoral response and complete revascularization of the vena cava and right femoral vein.

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Images in emergency medicine: phlegmasia cerulea dolens.

Joel T Levis, MD, PhD, FACEP, FAAEM, is a Senior Emergency Physician at the Santa Clara Medical Center, and Clinical Instructor of Emergency Medicine (Surgery) at Stanford University. He is the Medical Director for the Foothill College Paramedic Program in Los Altos, CA. E-mail: [email protected]. Danny L Sam, MD, FACP, is a Senior Internal Medicine Physician, Director of Graduate Medical Educa...

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ژورنال

عنوان ژورنال: Postgraduate Medical Journal

سال: 2000

ISSN: 0032-5473

DOI: 10.1136/pmj.76.894.234