2018/09/05 by Benjamin L. Mazer, Patrick G. Hughes · 1 citation
Medicine · #Venous Thromboembolism Diagnosis and Management #Diagnosis and Treatment of Venous Diseases #Vasculitis and related conditions #Medicine #Thrombolysis #Surgery #Thrombosis #Catheter #Deep vein #Balloon #Emergency department #Heparin #Venous thrombosis #Pulmonary embolism #Anesthesia #Cardiology #Myocardial infarction
paper · pdf · doi:10.5811/cpcem.2018.8.39444
openalex publication_date 2018/09/05 · openalex created_date 2025/10/10 · openalex updated_date 2026/08/05
Phlegmasia cerulea dolens (PCD) is a rare and severe form of deep venous thrombosis that is classically associated with the lower extremities. We report a case of upper extremity PCD developing abruptly in a 37-year-old female with an indwelling cardiac pacemaker who presented to the emergency department complaining of pain and paresthesias in her left arm, adjoining left chest wall, and inferior neck. Her condition was promptly diagnosed and successfully treated with intravenous unfractionated heparin and balloon venoplasty with catheter-directed thrombolysis without any known residual signs or symptoms at hospital discharge.