Image Challenge – January 7th

Question: What is the name of the clinical finding below and what is the diagnosis?

Reference Wikipedia – Heilman, James. (2016). Phlegmasia cerulea dolens. Wikipedia. Reference – https://en.wikipedia.org/wiki/Phlegmasia_cerulea_dolens#/media/File:PCD2016.jpg

Answer: This is phlegmasia cerulea dolens! It is a presentation of a severe deep vein thrombosis and it is often associated with compartment syndrome. There is occlusion of major veins and collateral veins, and thus there is lack of venous outflow and effectively compartment syndrome.

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