Successful Endovascular Management of Post-Traumatic Phlegmasia Cerulea Dolens from Rupture of the External Iliac Vein
03 medical and health sciences
0302 clinical medicine
RD1-811
posttraumatic phlegmasia cerulea dolens
Surgery
inferior vena cava filtering
ruptured external iliac vein
endovascular venous stent graft
venous thrombus
DOI:
10.17479/jacs.2017.7.2.87
Publication Date:
2017-10-25T20:51:26Z
AUTHORS (5)
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.
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