Kasabach-Merritt-like phenomenon in a massive uterine leiomyoma presenting with chronic disseminated intravascular coagulation: A case report.
CBC, Complete Blood Count
Chronic DIC, disseminated intravascular coagulation
Coagulopathy
DIC, Disseminated Intravascular Coagulation
DVT, deep vein thrombosis
Fibroid
GERD, Gastroesophageal Reflux Disease
INR, international normalized ratio
PT, Prothrombin Time
PTT, Partial Tissue Thromboplastin Time
Uterine leiomyoma
WBC, White Blood Cell
Journal
Case reports in women's health
ISSN: 2214-9112
Titre abrégé: Case Rep Womens Health
Pays: Netherlands
ID NLM: 101682122
Informations de publication
Date de publication:
Oct 2020
Oct 2020
Historique:
received:
31
08
2020
revised:
27
09
2020
accepted:
30
09
2020
entrez:
2
11
2020
pubmed:
3
11
2020
medline:
3
11
2020
Statut:
epublish
Résumé
Kasabach-Merritt phenomenon is a process where the presence of vascular irregularity within a Kaposiform hemangioendothelioma or tufted angioma leads to constitutive coagulation factor activation and the development of chronic disseminated intravascular coagulation (DIC). A similar phenomenon has been seen in other tumors but has rarely been described. A 42-year-old woman presented to the hospital following the development of worsening easy bruising and bleeding. She was ultimately found to have a massive uterine fibroid that led to constitutive coagulation cascade activation and subsequent chronic DIC. Following resection, she had complete resolution of DIC and made a full recovery. Although rare, the development of unexplained chronic DIC in a woman should prompt evaluation for the presence of massive uterine fibroids.
Identifiants
pubmed: 33134091
doi: 10.1016/j.crwh.2020.e00262
pii: S2214-9112(20)30092-8
pmc: PMC7585872
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e00262Informations de copyright
© 2020 The Authors.
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