하대정맥 필터 삽입 후 합병증으로 발생한 Phlegmasia Cerulea Dolens 1예
A Case of Phlegmasia Cerulea Dolens as a Complication Caused by Placement of Inferior Vena Cava Filter
김종화 (순천향의대)
이호성 (순천향의대)
최재성 (순천향의대)
서기현 (순천향대학교)
김용훈 (순천향대학교)
나주옥 (순천향대학교)
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초록
저자들은 폐색전증과 심부정맥 혈전증을 이전에 진단받았던 말기 전립선암환자에서 외상성 뇌출혈로 인해 항응고제 치료를 시행하지 못하여 하대정맥 필터를 삽입 후 하지 부종, 하지 맥압 소실, 급성 신부전 및 DIC 등으로 사망한 phlegmasia cerulea dolens 1예를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
- keywords
- Phlegmasia cerulea dolens, Inferior vena cava filter, Pulmonary embolism
Abstract
Inferior vena cava filters are increasingly being used as an alternative to anticoagulation therapy for the prevention of pulmonary embolism. However, using an Inferior vena cava filter may result in clinically significant complications. Phlegmasia cerulea dolens is a rare disease that presents with acute complete venous occlusion due to extensive thrombosis in the lower extremity. It is characterized by intense pain, edema, decreased pulses and a cyanotic extremity. We report here on a case of phlegmasia cerulea dolens that was accompanied with disseminated intravascular coagulation (DIC) as a complication of the placement of an inferior vena cava filter in a patient who had been previously diagnosed with pulmonary embolism, and the patient had recently developed a cerebral hemorrhage due to a traffic accident.
- keywords
- Phlegmasia cerulea dolens, Inferior vena cava filter, Pulmonary embolism
참고문헌
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