Life-threatening hemorrhagic diathesis due to disseminated intravascular coagulation during elective brain tumor surgery
Détails
ID Serval
serval:BIB_B7CA677D3863
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Life-threatening hemorrhagic diathesis due to disseminated intravascular coagulation during elective brain tumor surgery
Périodique
Journal of Neurosurgical Anesthesiology
ISSN
0898-4921
Statut éditorial
Publié
Date de publication
01/1995
Peer-reviewed
Oui
Volume
7
Numéro
1
Pages
26-9
Notes
Case Reports
Journal Article --- Old month value: Jan
Journal Article --- Old month value: Jan
Résumé
Disseminated intravascular coagulation (DIC) is an extremely rare complication during elective brain tumor surgery. We report the case of a life-threatening intraoperative hemorrhagic diathesis due to a fulminating DIC during the removal of a grade III parietooccipital astrocytoma in a patient with a history of three pulmonary embolisms. Intraoperatively, the patient required 13 U of blood, 9 U of fresh-frozen plasma, and 5.45 L of colloids and crystalloids (total volume infused during the procedure: 12.5 L). Bleeding persisted for 24 h and required further blood component therapy. Laboratory data support the diagnosis of DIC: decreased fibrinogen and platelet count, prolonged thrombin and prothrombin times, and the presence of fibrin monomers. With aggressive and swift treatment of the DIC, the patient survived with transient neurological worsening.
Mots-clé
Blood Component Transfusion
Blood Loss, Surgical
Blood Transfusion
Brain Neoplasms/*surgery
Colloids/therapeutic use
Disseminated Intravascular Coagulation/*etiology
Glioblastoma/*surgery
Humans
*Intraoperative Complications
Isotonic Solutions
Male
Middle Aged
Plasma Substitutes/therapeutic use
Rehydration Solutions/therapeutic use
Surgical Procedures, Elective
Pubmed
Web of science
Création de la notice
21/01/2008 18:30
Dernière modification de la notice
20/08/2019 16:25