Phlegmasia cerulea dolens as an initial manifestation of a fistula between a ruptured iliac artery aneurysm and the iliac vein Kazumasa Hanada, MD, Kota.

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Phlegmasia cerulea dolens secondary to an aortoiliac aneurysm

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Phlegmasia cerulea dolens as an initial manifestation of a fistula between a ruptured iliac artery aneurysm and the iliac vein Kazumasa Hanada, MD, Kota Yamamoto, MD, PhD, Takafumi Akai, MD, PhD, Ryosuke Taniguchi, MD, PhD, Toshio Takayama, MD, PhD, Katsuyuki Hoshina, MD, PhD Journal of Vascular Surgery Cases and Innovative Techniques Volume 5, Issue 1, Pages 41-44 (March 2019) DOI: 10.1016/j.jvscit.2018.11.004 Copyright © 2018 The Author(s) Terms and Conditions

Fig. 1 Photographs of the patient's limbs. A, Preoperatively, the left limb is swollen and cyanotic. B, Postoperatively, the condition of the left limb shows improvement. Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, 41-44DOI: (10.1016/j.jvscit.2018.11.004) Copyright © 2018 The Author(s) Terms and Conditions

Fig. 2 Preoperative noncontrast-enhanced computed tomography. A, Right common iliac artery aneurysm (CIAA). B, Left CIAA. C, Right common iliac vein. D, Compressed left common iliac vein. The border is unclear. E, Aorta. F, Inferior vena cava. Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, 41-44DOI: (10.1016/j.jvscit.2018.11.004) Copyright © 2018 The Author(s) Terms and Conditions

Fig. 3 Intraoperative photographs. A, Right common iliac artery aneurysm (CIAA). B, After reconstruction. Closure of the left common iliac vein is indicated by the arrow. Journal of Vascular Surgery Cases and Innovative Techniques 2019 5, 41-44DOI: (10.1016/j.jvscit.2018.11.004) Copyright © 2018 The Author(s) Terms and Conditions