A Case of Phlegmasia Cerulea Dolens

A 50 yr old gentleman with a diagnosis of metastatic pancreatic cancer was admitted with a history of swollen leg. He had widespread metastatic disease and he had a poor performance status. He was not suitable for chemotherapy or aggressive treatment in view of his poor performance status and extensive metastatic disease with very poor prognosis. He was not able to mobilise and he was bed bound. He was for palliative management with symptom control. His leg was swollen and it was cyanosed with purplish/bluish discolouration. He had an US Doppler which suggested extensive DVT of the deep venous system. He was started on anticoagulation. He was referred to a tertiary centre for further management but as his prognosis was extremely poor with poor performance status he was manged with anticoagulation.