Work

Gangrene of digits from phlegmasia cerulea dolens: A case report

Year: 2025

Type: article

Abstract: Phlegmasia Cerulea Dolens (PCD) is a rare and severe manifestation of deep vein thrombosis (DVT) characterized by extensive venous obstruction extending into collateral veins. 1 PCD's relationship to compartment syndrome and gangrene is known but has not yet been thoroughly studied. 2 We present a case of PCD in a pre-menopausal woman, who developed compartment syndrome, post fasciotomy wound infection, and required subsequent multi-digit amputations due to dry gangrene. The patient presented initially to another hospital where they performed a right superficial femoral artery to anterior tibial bypass with reversed saphenous vein with right leg four compartment decompression fasciotomies. This case covers the severity of PCD and its ability to cause irreversible tissue damage even with timely intervention. Level of Evidence: 4

Source: Foot & Ankle Surgery Techniques Reports & Cases

DOI: 10.1016/j.fastrc.2025.100553

Authors: Lauren Simon, Christopher Doty, Mariana Ocegueda, Mitchell L. Goldflies

Institutions: Saint Joseph Hospital, Western Atlantic University School of Medicine

Language: English

Topic: Muscle and Compartmental Disorders

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,000