1. Acute Disseminated Intravascular Coagulation After Prophylactic Nailing of the Femur in a Patient with Metastatic Prostate Cancer: A Case Report.
- Author
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You DZ, Kendal JK, Duffy P, Monument MJ, and Schneider PS
- Subjects
- Aged, 80 and over, Bone Neoplasms complications, Bone Neoplasms secondary, Femur pathology, Humans, Male, Prostatic Neoplasms pathology, Bone Neoplasms surgery, Disseminated Intravascular Coagulation etiology, Femur surgery, Fracture Fixation, Intramedullary adverse effects, Postoperative Complications etiology, Prostatic Neoplasms complications
- Abstract
Case: We present a case of acute disseminated intravascular coagulation (DIC) after prophylactic femoral intramedullary stabilization in a patient with metastatic prostate cancer. Preoperative international normalized ratio of 1.4 was attributed to malnutrition, and the patient was not medically optimized. DIC developed 1 hour postoperatively and was managed with blood product resuscitation. At the 4-month follow-up, the patient presented with bilateral pulmonary emboli and was transitioned to palliative care., Conclusions: DIC after intramedullary stabilization in patients with metastatic bone disease is a rare condition with high mortality rate. Early recognition, blood product resuscitation, and involvement of appropriate subspecialty services are imperative in DIC management.
- Published
- 2020
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