Abstract
Disseminated intravascular coagulation (DIC) is a high mortality coagulopathy that leads to simultaneous thrombotic and bleeding problems. It occurs as a complication in different disease as malignancies, obstetrical catastrophes, bacterial sepsis and traumas. We report on an extremely rare case of acute DIC in a patient with misdiagnosed adenomyosis and massive methrorragia which led to acute kidney failure. The patient was successfully treated with hysterectomy and blood product transfusions; however, a slight reduction of renal function persisted. We were able to confirm the cause-consequence link between adenomyosis and consumptive DIC since we saw the thrombi in the adenomyotic uterus from early hysterectomy specimen. Moreover, this is the first case, for the best of our knowledge, in which systemic consequences persist in an adenomyosis patient who developed a DIC. Early diagnose and treatment of acute DIC is essential for patient’s survival and to prevent severe complications: adenomyosis should be kept in mind as a possible cause of DIC when a patient shows up with massive bleeding.
| Original language | English |
|---|---|
| Journal | Gynecological Endocrinology |
| DOIs | |
| Publication status | Accepted/In press - Jan 1 2018 |
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Keywords
- acute renal failure
- Adenomyosis
- consumptive coagulopathy
- disseminated intravascular coagulation
- metrorrhagia
ASJC Scopus subject areas
- Endocrinology, Diabetes and Metabolism
- Endocrinology
- Obstetrics and Gynaecology
Cite this
Menstruation-related disseminated intravascular coagulation in an adenomyosis patient : case report and review of the literature. / Cernogoraz, Alice; Schiraldi, Luigi; Bonazza, Deborah; Ricci, Giuseppe.
In: Gynecological Endocrinology, 01.01.2018.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Menstruation-related disseminated intravascular coagulation in an adenomyosis patient
T2 - case report and review of the literature
AU - Cernogoraz, Alice
AU - Schiraldi, Luigi
AU - Bonazza, Deborah
AU - Ricci, Giuseppe
PY - 2018/1/1
Y1 - 2018/1/1
N2 - Disseminated intravascular coagulation (DIC) is a high mortality coagulopathy that leads to simultaneous thrombotic and bleeding problems. It occurs as a complication in different disease as malignancies, obstetrical catastrophes, bacterial sepsis and traumas. We report on an extremely rare case of acute DIC in a patient with misdiagnosed adenomyosis and massive methrorragia which led to acute kidney failure. The patient was successfully treated with hysterectomy and blood product transfusions; however, a slight reduction of renal function persisted. We were able to confirm the cause-consequence link between adenomyosis and consumptive DIC since we saw the thrombi in the adenomyotic uterus from early hysterectomy specimen. Moreover, this is the first case, for the best of our knowledge, in which systemic consequences persist in an adenomyosis patient who developed a DIC. Early diagnose and treatment of acute DIC is essential for patient’s survival and to prevent severe complications: adenomyosis should be kept in mind as a possible cause of DIC when a patient shows up with massive bleeding.
AB - Disseminated intravascular coagulation (DIC) is a high mortality coagulopathy that leads to simultaneous thrombotic and bleeding problems. It occurs as a complication in different disease as malignancies, obstetrical catastrophes, bacterial sepsis and traumas. We report on an extremely rare case of acute DIC in a patient with misdiagnosed adenomyosis and massive methrorragia which led to acute kidney failure. The patient was successfully treated with hysterectomy and blood product transfusions; however, a slight reduction of renal function persisted. We were able to confirm the cause-consequence link between adenomyosis and consumptive DIC since we saw the thrombi in the adenomyotic uterus from early hysterectomy specimen. Moreover, this is the first case, for the best of our knowledge, in which systemic consequences persist in an adenomyosis patient who developed a DIC. Early diagnose and treatment of acute DIC is essential for patient’s survival and to prevent severe complications: adenomyosis should be kept in mind as a possible cause of DIC when a patient shows up with massive bleeding.
KW - acute renal failure
KW - Adenomyosis
KW - consumptive coagulopathy
KW - disseminated intravascular coagulation
KW - metrorrhagia
UR - http://www.scopus.com/inward/record.url?scp=85050670409&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85050670409&partnerID=8YFLogxK
U2 - 10.1080/09513590.2018.1488956
DO - 10.1080/09513590.2018.1488956
M3 - Article
AN - SCOPUS:85050670409
JO - Gynecological Endocrinology
JF - Gynecological Endocrinology
SN - 0951-3590
ER -