Eggum R, Lie B, Stavis P
Karseksjonen Kirurgisk klinikk Buskerud sentralsykehus, Drammen.
Tidsskr Nor Laegeforen. 1999 Dec 10;119(30):4460-1.
Phlegmasia cerulea dolens is a serious condition and a result of central venous obstruction which can lead to venous gangrena and amputation of the affected limb. Multiple underlying conditions are described: malignant disease, trauma and hypercoagulable states such as heparin-induced thrombocytopenia, deficiency of protein C and antithrombin III. Phlegmasia cerulea dolens is also described as complication to insertion of a vena caval filter. We present a patient who developed phlegmasia cerulea dolens in his left lower limb as a result of an undiagnosed lumbal aortic aneurysm. To our knowledge this is the first report of phlegmasia cerulea dolens as the initial symptom of an abdominal aneurysm.
股青肿是一种严重病症，是中心静脉阻塞的结果，可导致静脉性坏疽以及受影响肢体的截肢。文献描述了多种潜在病因：恶性疾病、创伤以及高凝状态，如肝素诱导的血小板减少症、蛋白C和抗凝血酶III缺乏。股青肿也被描述为腔静脉滤器植入的并发症。我们报告一名患者，因未被诊断出的腰段主动脉瘤而在左下肢发生股青肿。据我们所知，这是首例将股青肿作为腹主动脉瘤初始症状的报告。
