$Disseminated intravascular coagulopathy in patients with cancer undergoing operation for pathological fractures of the hip$

Disseminated intravascular coagulopathy in patients with cancer undergoing operation for pathological fractures of the hip

Disseminated intravascular coagulopathy is a serious complication of numerous pathological conditions, particularly metastatic cancer. It is rarely encountered in orthopaedic surgery. Prompt recognition and treatment is required to prevent death. We describe two patients with pathological fractures...

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Veröffentlicht in:	International orthopaedics 1987-08, Vol.11 (3), p.179-181
Hauptverfasser:	NYSKA, M, KLIN, B, MARGULIES, J. Y, FAST, A, FLOMAN, Y
Format:	Artikel
Sprache:	eng
Schlagworte:	Aged Biological and medical sciences Bone Neoplasms - complications Bone Neoplasms - secondary Diseases of the osteoarticular system Disseminated Intravascular Coagulation - etiology Female Femoral Neck Fractures - etiology Femoral Neck Fractures - surgery Fractures, Spontaneous - etiology Fractures, Spontaneous - surgery Hip Fractures - etiology Hip Fractures - surgery Humans Hypotension - etiology Male Medical sciences Postoperative Complications - etiology Thrombocytopenia - etiology Tumors of striated muscle and skeleton
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Beschreibung
Zusammenfassung:	Disseminated intravascular coagulopathy is a serious complication of numerous pathological conditions, particularly metastatic cancer. It is rarely encountered in orthopaedic surgery. Prompt recognition and treatment is required to prevent death. We describe two patients with pathological fractures of the proximal femur due to metastatic disease who died from disseminated intravascular coagulation after operation. A high index of suspicion, careful monitoring of the clotting mechanism and prompt treatment are required.
ISSN:	0341-2695 1432-5195
DOI:	10.1007/BF00271444