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Challenging Management of PhlegmasiaCeruleaDolens Post Liver Biopsy: A Rare Case

Author(s): Siji S Thomas, Hadia Arzoun, Stephanie Sandoval, Amber Kuta, Reema Mathew, Sapna Mistry

Phlegmasia cerulea dolens (PCD) is a life-threatening manifestation of acute deep vein thrombosis, leading to pain, ischemia and compartment syndrome. Individuals with malignancy are at high risk of developing PCD. Treatment of PCD typically involves routinely anticoagulation. We present the case of a patient who developed PCD of his left lower extremity on the day of liver biopsy which posed high risk for bleeding as well. Mechanical thrombectomy using a popliteal approach was used to treat PCD successfully. In high risk individuals pre invasive procedure prophylaxis may be of benefit to prevent development of PCD.

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