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Upper-Extremity Phlegmasia Cerulea Dolens With Compartment Syndrome in Coronavirus Disease 2019 Sepsis.
Hembd, Austin; Kim, Hannah; Lahsaei, Peiman; Haddock, Nicholas T; Teotia, Sumeet S.
  • Hembd A; Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, TX. Electronic address: hembdaustin@gmail.com.
  • Kim H; Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, TX.
  • Lahsaei P; Department of Anesthesiology and Pain Management, University of Texas Southwestern Medical Center, Dallas, TX.
  • Haddock NT; Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, TX.
  • Teotia SS; Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, TX.
J Hand Surg Am ; 47(7): 693.e1-693.e3, 2022 07.
Article in English | MEDLINE | ID: covidwho-1275479
ABSTRACT
A 54-year-old woman with leukemia presented with coronavirus disease 2019 and a right upper-extremity indwelling peripherally inserted central catheter line for chemotherapy administration. On hospital admission day 9, she developed acute right upper-extremity edema and pain. Ultrasound demonstrated complete superficial and deep venous thrombosis up to the proximal subclavian vein. Her examination result was consistent with acute phlegmasia cerulea dolens and compartment syndrome, but respiratory instability prevented transfer and vascular surgery intervention. Instead, we performed bedside fasciotomies and administered therapeutic heparin, and the limb was salvaged. This case underscores the potential for successful limb salvage in patients with phlegmasia in the setting of coronavirus disease 2019 via compartment release and therapeutic anticoagulation.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Thrombophlebitis / Compartment Syndromes / Sepsis / Venous Thrombosis / COVID-19 Type of study: Case report / Diagnostic study Limits: Female / Humans / Middle aged Language: English Journal: J Hand Surg Am Year: 2022 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Thrombophlebitis / Compartment Syndromes / Sepsis / Venous Thrombosis / COVID-19 Type of study: Case report / Diagnostic study Limits: Female / Humans / Middle aged Language: English Journal: J Hand Surg Am Year: 2022 Document Type: Article