Abstract
Venous gangrene, in which the gangrene develops because of a circulatory disorder due to venous thrombosis of extremities, is a rare disease. There have been a very few reports on the disease even including its prestage disease, phelegmaisa cerulea dolens. Most of the reports have described the disease in the lower legs.
Recently we encountered a very uncommon case of venous gangrene of the hand and forearm in a 56-year-old man after recieving a slight injury (a burise on the dorsum manus) who lapsed into shock. About 36 hours after the injury which was left without any treatment. The cutaneous vein of dorsum manus was clogged with thrombi and cyanosis occurred. The epidermis was separated and plasma compoments leaked out as in the case of burn. The shock progressed with time, and the patient developed oliguria. IVDSA, which caused the least invation, was performed for angiography because of a poor conditions of the patient. After the absence of circulation of the hand was confirmed, the patient's apperarm was amputated. Although the patient developed multiple organ failure (acute renal failure, adult respiratory distress syndrome, and disseminated intravascular coagulopathy), fortumately, he survived.
