{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:24:58Z","timestamp":1787775898089,"version":"build-2784847793"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:p>\n                    Phlegmasia cerulea dolens is a severe form of deep venous thrombosis (DVT) characterized by severe venous outflow obstruction, marked limb swelling, pain, bluish discoloration, and even venous gangrene if the condition is untreated. In our case, 75-year-old woman, with general abdominal pain, which increases with eating and anorexia and 5 days of coldness and swelling of the left leg, was accepted. The patient had a history of Type II diabetes, ischemic heart disease, congestive heart failure, hyperlipidemic (HLP), hypertension, metastatic ovarian cancer, and previous DVT. She has undergone chemotherapy for the past 3 weeks due to ovarian cancers. Anticoagulation with intravenous administration of heparin and fluid resuscitation started immediately. The evidence of color Doppler sonography approved acute DVT in common femoral vein extending to the left external iliac. The patient did not consent for continuing the procedure in the hospital and succumbed to her illness on the 7\n                    <jats:sup>th<\/jats:sup>\n                    day after discharge.\n                  <\/jats:p>","DOI":"10.4103\/abr.abr_3_20","type":"journal-article","created":{"date-parts":[[2020,7,28]],"date-time":"2020-07-28T00:41:55Z","timestamp":1595896915000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["Phlegmasia Cerulea Dolens: A Rare Case Report"],"prefix":"10.4103","volume":"9","author":[{"given":"Alireza","family":"Abootalebi","sequence":"first","affiliation":[{"name":"From the Department of Emergency Medicine, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohsen","family":"Salemi","sequence":"additional","affiliation":[{"name":"From the Department of Emergency Medicine, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farhad","family":"Heidari","sequence":"additional","affiliation":[{"name":"From the Department of Emergency Medicine, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Azita","family":"Azimi Meibody","sequence":"additional","affiliation":[{"name":"From the Department of Emergency Medicine, Isfahan University of Medical Sciences, Isfahan, Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020,7,27]]},"reference":[{"key":"R1-20250805","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1177\/1538574410388309","article-title":"Trends in management of phlegmasia cerulea dolens","volume":"45","author":"Chinsakchai","year":"2011","journal-title":"Vasc Endovascular Surg"},{"key":"R2-20250805","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1002\/jcu.20317","article-title":"Phlegmasia cerulea dolens","volume":"35","author":"Bhatt","year":"2007","journal-title":"J Clin Ultrasound"},{"key":"R3-20250805","doi-asserted-by":"crossref","first-page":"e00424","DOI":"10.1002\/rcr2.424","article-title":"Phlegmasia cerulea dolens: A rare cause of shock","volume":"7","author":"Lewis","year":"2019","journal-title":"Respirol Case Rep"},{"key":"R4-20250805","doi-asserted-by":"crossref","first-page":"690","DOI":"10.1136\/postgradmedj-2016-134185","article-title":"Phlegmasia cerulea dolens","volume":"92","author":"Maiti","year":"2016","journal-title":"Postgrad Med J"},{"key":"R5-20250805","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1007\/s11739-014-1086-3","article-title":"Phlegmasia cerulea dolens: Before and after lysis","volume":"10","author":"Kalagher","year":"2015","journal-title":"Intern Emerg Med"},{"key":"R6-20250805","doi-asserted-by":"crossref","first-page":"1214","DOI":"10.1007\/s00270-010-0042-5","article-title":"Endovascular treatment of phlegmasia cerulea dolens with impending venous gangrene: Manual aspiration thrombectomy as the first \u2013 Line thrombus removal method","volume":"34","author":"Oguzkurt","year":"2011","journal-title":"Cardiovasc Intervent Radiol"},{"key":"R7-20250805","first-page":"76","article-title":"Phlegmasia cerulea dolens","volume":"36","author":"Sarwar","year":"2009","journal-title":"Tex Heart Inst J"},{"key":"R8-20250805","first-page":"bcr-2018-224879","article-title":"Phlegmasia cerulea dolens presenting with acute compartment syndrome and pulmonary embolism","volume":"2018","author":"Singh","year":"2018","journal-title":"Case Reports"}],"container-title":["Advanced Biomedical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/abr.abr_3_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:45:33Z","timestamp":1787773533000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/abr.abr_3_20"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,1]]},"references-count":8,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.4103\/abr.abr_3_20","relation":{},"ISSN":["2277-9175"],"issn-type":[{"value":"2277-9175","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,1]]},"assertion":[{"value":"2020-01-05","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-04-07","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}