FATAL INTRA-OPERATIVE DISSEMINATED INTRAVASCULAR COAGULATION;: Extensive Surgery: A case report

TABISH HUSSAIN; JAWAD ZAHIR; SAMINA SATTAR; Bushra Zaidi; Mumtaz Hussain Shah; Qudsia Anjum Qureshi; Tumenjavkhlan Sosorburam

doi:10.29309/TPMJ/2013.20.06.1564

Authors

TABISH HUSSAIN Holy Family Hospital, Rawalpindi Medical College, Rawalpindi,46000,Pakistan.
JAWAD ZAHIR Holy Family Hospital, Rawalpindi Medical College, Rawalpindi,46000,Pakistan.
SAMINA SATTAR Holy Family Hospital, Rawalpindi Medical College, Rawalpindi,46000,Pakistan.
Bushra Zaidi Holy Family Hospital, Rawalpindi Medical College, Rawalpindi,46000,Pakistan.
Mumtaz Hussain Shah Holy Family Hospital, Rawalpindi Medical College, Rawalpindi,46000,Pakistan.
Qudsia Anjum Qureshi Holy Family Hospital, Rawalpindi Medical College, Rawalpindi,46000,Pakistan.
Tumenjavkhlan Sosorburam Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, P.R. China.

DOI:

https://doi.org/10.29309/TPMJ/2013.20.06.1564

Keywords:

DIC,, Extensive Surgery,, Esophagectomy

Abstract

Authors present a case of 26 years old female who was having Esophagectomy done due to esophageal perforation
secondary to severe corrosive intake strictures. Pre-operative course was uneventful, but during 5 hours of extensive surgery, she
developed fulminant disseminated intravascular coagulation (DIC) which was initially managed, but proved to be fatal after 4 hours of ICU
stay. Surgeons should be alert that hypercoaguable state can develop in unprepared patients having extensive surgery.