Blue Leg: Phlegmasia Cerulea Dolens Secondary to May Thurner Syndrome

Cureus. 2022 Jan 11;14(1):e21105. doi: 10.7759/cureus.21105. eCollection 2022 Jan.

Abstract

Phlegmasia cerulea dolens (PCD) can present as leg pain accompanied by bluish discoloration. It is a limb-threatening emergency that needs to be promptly addressed with anticoagulation with consideration of thrombolytics. We present a case of PCD in an 83-year-old female without obvious risk factor for thrombosis, found to have May Thurner Syndrome (MTS) requiring a chemical and mechanical approach to prevent catastrophic outcomes.

Keywords: anticoagulation; blue leg; blue limb; interventional radiology stent placement; mechanical thrombectomy (mt); phlegmasia cerulea dolens (pcd); thrombosis; • may thurner syndrome (mts).

Publication types

  • Case Reports