What does this research mean for the field?

Upper extremity phlegmasia cerulea dolens is a rare, life-threatening thrombotic complication that can be precipitated by midline catheter placement in critically ill, hypercoagulable patients, requiring early imaging even when arterial pulses are present. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

To present a rare case of upper extremity phlegmasia cerulea dolens in a critically ill patient and discuss its implications.

May 20, 2026American Journal of Respiratory and Critical Care Medicine

C51-12 Phlegmasia Cerulea Dolens of the Upper Extremity: A Rare Perfect Storm of Thrombosis in Critical Illness

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Authors

OAO Atieh TTT C G Tsai ASA Somers

Discussion

Member takes

Overview

Case presentation uncovers lethal effects of phlegmasia cerulea dolens in septic shock patients, emphasizing the need for vigilant imaging.

Key Points

To present a rare case of upper extremity phlegmasia cerulea dolens in a critically ill patient and discuss its implications.
Detailed clinical case report of an 89-year-old female with multiple comorbidities.
Assessment through laboratory results and imaging studies post midline catheter placement.
Monitoring of clinical progression and decision-making regarding patient care.
The patient developed acute left upper extremity swelling and gangrene following midline catheter placement.
Progressive multiorgan dysfunction occurred despite aggressive treatment and anticoagulation.
Patient expired after 15 days under comfort care due to complications from PCD.

Cite This Study

Atieh et al. (2026) studied this question.

synapsesocial.com/papers/6a0d4f19f03e14405aa9a566 https://doi.org/10.1093/ajrccm/aamag162.6217

View Full Paper

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May 20, 2026American Journal of Respiratory and Critical Care Medicine

C51-12 Phlegmasia Cerulea Dolens of the Upper Extremity: A Rare Perfect Storm of Thrombosis in Critical Illness

View Full Paper

Ask AI

Bookmark

Authors

OAO Atieh TTT C G Tsai ASA Somers

Discussion

Member takes

Overview

Case presentation uncovers lethal effects of phlegmasia cerulea dolens in septic shock patients, emphasizing the need for vigilant imaging.

Key Points

To present a rare case of upper extremity phlegmasia cerulea dolens in a critically ill patient and discuss its implications.
Detailed clinical case report of an 89-year-old female with multiple comorbidities.
Assessment through laboratory results and imaging studies post midline catheter placement.
Monitoring of clinical progression and decision-making regarding patient care.
The patient developed acute left upper extremity swelling and gangrene following midline catheter placement.
Progressive multiorgan dysfunction occurred despite aggressive treatment and anticoagulation.
Patient expired after 15 days under comfort care due to complications from PCD.

Cite This Study

Atieh et al. (2026) studied this question.

synapsesocial.com/papers/6a0d4f19f03e14405aa9a566 https://doi.org/10.1093/ajrccm/aamag162.6217

View Full Paper

Ask AI

Bookmark