CASE REPORTPhlegmasia cerulea dolens as a complication of a severe form of acute hemorrhagic-necrotizing pancreatitisMolacek, Jiri; Treska, Vladislav; Baxa, Jan; Duras, Petr; Vesely, VladimirAuthor Information Department of Vascular Surgery, University Hospital Pilsen, Pilsen, Czech Republic Received 1 June, 2007 Revised 16 October, 2007 Accepted 17 October, 2007 Correspondence to Jiri Molacek, MD, PhD, Assistant Professor, University Hospital Pilsen, Vascular Surgery Department, Pilsen, Alej Svobody 80, 304 60, Czech Republic E-mail: firstname.lastname@example.org Blood Coagulation & Fibrinolysis: January 2008 - Volume 19 - Issue 1 - p 98-100 doi: 10.1097/MBC.0b013e3282f38c38 Buy Metrics Abstract Phlegmasia cerulea dolens is an extreme form of deep venous thrombosis with a proximal localization of the blockage, most frequently in the ileofemoral area. Symptoms are graded as follows: swelling of the entire extremity, pain, and cyanosis. This form of the disease is rare, occurring most frequently in the terminal stage of malignancies. Diagnosis of phlegmasia usually causes no problems because the proper diagnosis is usually revealed during clinical examination and confirmed by imaging techniques. The authors present a case report of phlegmasia cerulean dolens and discuss the options for treatment. © 2008 Lippincott Williams & Wilkins, Inc.