Successful Endovascular Management of Post-Traumatic Phlegmasia Cerulea Dolens from Rupture of the External Iliac Vein.
10.17479/jacs.2017.7.2.87
- Author:
Chan Yong PARK
1
;
Hyun Min CHO
;
Kwang Hee YEO
;
June Pill SEOK
;
Chan Kyu LEE
Author Information
1. Department of Trauma Surgery, Pusan National University Hospital, Busan, Korea. apolo1980@hanmail.net
- Publication Type:Case Report
- Keywords:
Posttraumatic phlegmasia cerulea dolens;
Ruptured external iliac vein;
Endovascular venous stent graft;
Inferior vena cava filtering;
Venous thrombus
- MeSH:
Abdomen;
Angiography;
Blood Vessel Prosthesis;
Coma;
Emergency Service, Hospital;
Head;
Hematoma;
Humans;
Iliac Vein*;
Leg;
Liver;
Lower Extremity;
Male;
Middle Aged;
Motor Vehicles;
Rupture*;
Thrombosis;
Vena Cava, Inferior
- From:
Journal of Acute Care Surgery
2017;7(2):87-89
- CountryRepublic of Korea
- Language:English
-
Abstract:
We report a rare case of a 47-year-old male with posttraumatic phlegmasia cerulea dolens caused by a ruptured right external iliac vein and treated with an endovascular venous stent graft. The patient was the victim of motor vehicle accident, and suffered direct injuries to the head and abdomen. The patient had a cyanotic and swollen right lower leg. Abdominal and lower extremity computed tomography angiography revealed a large retroperitoneal hematoma caused by a ruptured right external iliac vein, and grade I liver injury. The right external iliac vein rupture was successfully treated with a venous stent graft, followed by inferior vena cava filtering, because a venous thrombus was identified below the stent graft. He initially was hemodynamically unstable but recovered following treatment. The patient was comatose when presenting at the emergency department. He was discharged, fully recovered, on hospital day 18.
