BMJ Case Reports 2013; doi:10.1136/bcr-2013-009302

Bilateral phlegmasia cerulea dolens in an occluded inferior vena cava filter

  1. David Nasralla
  1. Department of General Surgery, Bristol Royal Infirmary, Bristol, UK
  1. Correspondence to Jessamy Diana Bagenal, jessamy.bagenal{at}


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 …

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