Postoperative disseminated intravascular coagulation in a patient with ureteral metastasis from gastric cancer

Hsin Chih Yeh, Hsi Lin Hsiao, Tu Hao Chang, Sheng Lan Wang, Chun Hsiung Huang, Wen Jeng Wu

Research output: Contribution to journalArticle

4 Scopus citations

Abstract

A 66-year-old man, with a history of gastric signet ring cell carcinoma, was admitted due to intermittent dull pain in the left lower abdomen for 3 months. Left ureteral obstruction with suspicious tumor encasement and hydronephrosis was found on imaging studies. Endoscopic ureteral biopsy revealed infiltrating high-grade urothelial carcinoma. As a result, he underwent left nephroureterectomy and bladder cuff excision. Unexpectedly, metastatic carcinoma of the left ureter from the stomach was the final diagnosis after comparison of the permanent sections of the two specimens. Unfortunately, acute disseminated intravascular coagulation developed and the patient died of disease complications 16 days after the operation, even with intensive care. The details of this rare condition are reported herein with a review of the medical literature.

Original languageEnglish (US)
Pages (from-to)319-323
Number of pages5
JournalKaohsiung Journal of Medical Sciences
Volume24
Issue number6
DOIs
StatePublished - Jun 2008
Externally publishedYes

Keywords

  • Disseminated intravascular coagulation
  • Gastric signet ring cell carcinoma
  • Ureteral metastasis

ASJC Scopus subject areas

  • Medicine(all)

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