Advanced colon cancer with bladder metastasis complicated by disseminated intravascular coagulation:a case report
10.16352/j.issn.1001-6325.2025.12.1648
- VernacularTitle:晚期结肠癌膀胱转移继发弥散性血管内凝血一例
- Author:
Siyuan LI
1
;
Jie DONG
Author Information
1. 中国医学科学院 北京协和医学院 北京协和医院 血液科,北京 100730
- Keywords:
colon cancer;
bladder metastasis;
disseminated intravascular coagulation
- From:
Basic & Clinical Medicine
2025;45(12):1648-1652
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the management strategies for disseminated intravascular coagulation(DIC)secondary to advanced malignancies.Methods Clinical data of an elderly male with advanced colon cancer,multi-ple bladder/pelvic wall metastases,and secondary DIC was collected and analysed.Diagnostic and therapeutic processes were systematically evaluated.Results The patient successfully underwent surgery to relieve urinary tract obstruction after transfusion support.Despite subsequent correction of coagulopathy with supportive care and antico-agulation,the prognosis remained poor due to tumor progression and DIC decompensation.Conclusions The man-agement of malignancy-complicated DIC requires dynamic assessment of coagulation status.Temperate anticoagula-tion might aid in DIC control even in the presence of bleeding risk.
