Acute Onset of Coagulopathy in a Patient with Kasabach-Merritt Syndrome following Transurethral Resection of Bladder Tumor
Autor: | Teruhiro Nakada, Hitoshi Suzuki, Osamu Sugano, Isoji Sasagawa, Norifumi Shoji |
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Rok vydání: | 1998 |
Předmět: |
medicine.medical_specialty
Urology Soft Tissue Neoplasms Cystectomy Kasabach–Merritt syndrome Hemangioma Urethra Electrocoagulation medicine Coagulopathy Humans Blood Coagulation Glucocorticoids Disseminated intravascular coagulation Carcinoma Transitional Cell Urinary bladder business.industry Vascular disease Anticoagulants Endoscopy Giant Hemangioma Syndrome Disseminated Intravascular Coagulation Middle Aged medicine.disease Surgery medicine.anatomical_structure Urinary Bladder Neoplasms Acute Disease Drug Therapy Combination Female Complication business |
Zdroj: | Urologia Internationalis. 61:115-118 |
ISSN: | 1423-0399 0042-1138 |
Popis: | We report an unusual case of Kasabach-Merritt syndrome in a 62 year-old woman with bladder tumor who suffered from acute consumption coagulopathy that increased the fibrinolytic activity due to the presence of a huge hemangioma in the upper and lower extremities. Two days after the transurethral resection of the solitary bladder tumor, serious hematuria and life-threatening disseminated intravascular coagulation developed. Following treatments with heparin and subsequent steroid treatment, hemorrhage and abnormal hemostatic values improved. It is suggested that extensive investigation of the coagulation system should be done in patients with giant hemangioma, particularly before a surgical procedure. |
Databáze: | OpenAIRE |
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