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).
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