Abstract | INTRODUCTION: Phlegmasia cerulea dolens (PCD) is a rare pathology with a very high morbidity and mortality rate, which usually occurs in the lower limb. There is very little literature available to aid management. CASE REPORT: We present a case of upper limb PCD in a 67-year-old female secondary to heparin-induced thrombocytopenia caused by warfarin bridging. She presented to the orthopedic team with upper limb compartment syndrome from a bleed around a peripherally inserted central catheter, for which she was urgently taken to the theater for fasciotomies. Postoperatively, the patient's platelets dropped and the upper limb pain and swelling continued; after conservative management and anticoagulation failed the patient had an upper limb amputation of her right arm. CONCLUSION: With limited guidelines and management options restricted by the large fasciotomy wounds, we believe amputation was the patients' best option.
|
Authors | Matthew Gaines, Mike Grant, Simon Robinson, Helene Stevenson |
Journal | Journal of orthopaedic case reports
(J Orthop Case Rep)
2017 Nov-Dec
Vol. 7
Issue 6
Pg. 55-58
ISSN: 2250-0685 [Print] India |
PMID | 29600212
(Publication Type: Case Reports)
|