Massive DVT (phlegmasia Cerulea Dolens)

Etiology

  • Unusual, massive proximal dvt

Risk Factors

  • Hypercoaguable state
  • External compression of iliac or proximal femoral veins

Symptoms

  • Acute welling
  • Pain
  • Evidence arterial insufficiency/ischemia secondary to increased tissue pressure

Physical Exam Findings

  • Marked asymmetric edema
  • Diminished pulses
  • Delayed capillary refill, cool, dusky/bluish skin appearance