Postoperative Severe Hemorrhage Due to Disseminated Intravascular Coagulation: A case report.
10.4097/kjae.1997.33.6.1220
- Author:
Eun Bae CHUNG
;
Seung Hee PARK
;
Jun Hak LEE
;
Ki Nam LEE
;
Jun Il MOON
- Publication Type:Case Report
- Keywords:
Blood, disseminated intravascular coagulation;
Complications, postoperative;
Hemorrhage
- MeSH:
Blood Coagulation Factors;
Calculi;
Dacarbazine;
Disseminated Intravascular Coagulation*;
Fibrin;
Fibrin Fibrinogen Degradation Products;
Fibrinolysis;
Hematoma;
Hemorrhage*;
Hemorrhagic Disorders;
Hemostasis;
Humans;
Middle Aged;
Nephrectomy;
Postoperative Complications;
Prothrombin Time;
Thrombin Time;
Thrombocytopenia;
Tibia
- From:Korean Journal of Anesthesiology
1997;33(6):1220-1224
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Disseminated intravascular coagulation (DIC) is a pathological syndrome in which activation of coagulation cascade leads to fibrin clot formation, consumption of platelets and coagulation factors, and secondary fibrinolysis. We report a case of severe postoperative hemorrhagic diathesis due to DIC. A 59-year-old man was scheduled for reduction of tibia fracture and anatrophic nephrolithotomy of staghorn calculi. On the fifth postoperative day, second operation was performed for nephrectomy due to perirenal hematoma. Two days later, third operation was performed for hemostasis because of the continuous bleeding. Coagulation tests showed positive DIC profiles of thrombocytopenia, hypofibrinogenemia, increased fibrin degradation products, and prolonged prothrombin time and thrombin time. The patient recovered uneventfully and discharged on the 59th postoperative day.
