Bilateral phlegmasia cerulea dolens in an occluded inferior vena cava filter
- Department of General Surgery, Bristol Royal Infirmary, Bristol, UK
- Correspondence to Jessamy Diana Bagenal,
A 70-year-old lady presented with severely painful, swollen and discoloured legs of 24 h onset. She had deteriorated quite rapidly over the last 12 h gradually becoming less responsive. Prior to this she had been well and independent.
Her medical history included atrial fibrillation, for which she took aspirin, and a deep vein thrombosis 15 years ago, following which she was found to have a caecal carcinoma and required the placement of an inferior vena cava (IVC) filter in order to have it resected safely and successfully in 1999.
On examination she was …