title: Simultaneous venous gangrene in both lower and upper limbs. A case report.
abstract: Cancer-related venous gangrene is an extremely rare paraneoplastic syndrome. Here, we present the case of a woman, who suffered from cervical cancer of the uterus and was admitted to our Clinic with venous gangrene in both the right lower and upper limbs. Neither the anticoagulant therapy, nor thrombolysis, succeeded in improving her clinical condition. Cancer is one of the most important causes of venous thromboembolism. Venous gangrene is rarely seen in these patients. Despite adequate therapy, venous gangrene in some very rare occasions may progress to affect further limbs. Mortality in these patients remains very high.
authors.affiliation: First Department of Surgery, University of Athens, Medical School, Laiko Hospital, Athens, Greece. bakogian@hotmail.com
authors.forename: C N
authors.initials: CN
authors.lastname: Bakoyiannis
authors.forename: S E
authors.initials: SE
authors.lastname: Georgopoulos
authors.forename: N S
authors.initials: NS
authors.lastname: Tsekouras
authors.forename: C N
authors.initials: CN
authors.lastname: Klonaris
authors.forename: K N
authors.initials: KN
authors.lastname: Xiromeritis
authors.forename: E A
authors.initials: EA
authors.lastname: Bastounis
mesh_terms: D017809:Fatal Outcome; D005260:Female; D005734:Gangrene / Q000209:etiology; D006801:Humans; D035002:Lower Extremity / Q000473:pathology*; D008875:Middle Aged; D034941:Upper Extremity / Q000473:pathology*; D002583:Uterine Cervical Neoplasms / Q000150:complications / Q000473:pathology; D020246:Venous Thrombosis / Q000150:complications / Q000209:etiology / Q000473:pathology*