Iliofemoral venous thrombosis following fascial excision of a deep burn of the lower extremity: case report.
Burned patients with deep venous thrombosis present a particularly perplexing challenge. They frequently require central venous catheters. Their altered skin integrity does not permit correlation with the typical changes described by the classic terminology for thrombophlebitis or its most severe forms, phlegmasia cerulea dolens or phlegmasia alba dolens. They are at risk of exsanguination or massive graft loss with lytic therapy or anticoagulation. Venous thrombectomy may be a necessary limb-saving surgical option.
Gibran
N S
NS
Burn Center, University of Washington, Seattle 98104.
Heimbach
D M
DM
Nicholls
S C
SC
D000328:Adult; D000925:Anticoagulants / Q000009:adverse effects / Q000627:therapeutic use; D002056:Burns / Q000601:surgery*; D002405:Catheterization, Central Venous / Q000009:adverse effects; D000071938:Fasciotomy; D005260:Female; D006801:Humans; D007869:Leg Injuries / Q000601:surgery*; D011183:Postoperative Complications; D013924:Thrombophlebitis / Q000209:etiology* / Q000628:therapy
D000925:Anticoagulants