Successful Treatment of Phlegmasia Cerulea Dolens by Surgical Thrombectomy: A Case Report

Cureus 2026 Open access

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Authors: Tomofumi Fukuda, Kosuke Saku, Koki Nakamura, Eiji Nakamura, Satoru Tobinaga
DOI: 10.7759/cureus.101127
Cited by: 1
References: 8

Abstract

Phlegmasia cerulea dolens (PCD) is a rare, life-threatening manifestation of deep vein thrombosis that can clinically resemble acute arterial occlusion. Accurate differentiation is essential for appropriate management. Delayed-phase contrast-enhanced computed tomography is particularly valuable in distinguishing between these two conditions. Here, we report the case of an 86-year-old man who presented with suspected acute limb ischemia, subsequently diagnosed with PCD by contrast-enhanced computed tomography. The patient was successfully treated with emergency surgical venous thrombectomy, followed by postoperative anticoagulant therapy.

Fields of Study & Subjects

Osteomyelitis and Bone Disorders Research Hypertrophic osteoarthropathy and related conditions Gout Hyperuricemia Uric Acid

Publication details

Journal / source
Cureus
Publisher
Springer Science and Business Media LLC
Volume
18
Issue
1
Pages
e101127–e101127
Publication date
8 January 2026
Language
EN