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Figures
Fig. 1
Abdominal CT during arterial phase. Abnormal enhancement of the IVC (arrow) while the renal veins are not opacified (A). Both kidneys are normal. Reconstructed sagittal image (B) and reconstructed 3D image (C) showing a direct communication (arrow) between the AAA and the IVC, which is compressed at the level of the aneurysm and dilated elsewhere.
Phlegmasia cerulea dolens, characterized by the triad of limb swelling, cyanosis, and acute ischemic pain, usually arises because of acute massive thrombosis of major deep, collateral, and superficial veins of an extremity. We report a patient with an atypically presenting ruptured aortic aneurysm masquerading as phlegmasia cerulea dolens. A 68-year-old man with a history of hypertension, intermittent claudication, and smoking presented with asthenia, macrohematuria, and mild back pain, as well as edema and blue mottling of the lower limbs and abdomen for 24 hours.
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