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Pulmonary embolism presenting as disseminated intravascular coagulation
S S L Choi1, S Y Pang, W P Mak
1Department of Medicine and Geriatrics, Caritas Medical Centre, 111 Wing Hong Street, Shamshuipo, Kowloon, Hong Kong.
Hong Kong Medical Journal = Xianggang Yi Xue Za Zhi
|April 9, 2002
Summary
Disseminated intravascular coagulation can be caused by hidden pulmonary embolism. Unexplained shock in patients necessitates investigation for thrombotic events like pulmonary thromboembolism.
Area of Science:
- Medicine
- Cardiology
- Hematology
Background:
- Disseminated intravascular coagulation (DIC) is a complex condition with various potential causes.
- Pulmonary embolism (PE) is a known, albeit sometimes occult, cause of DIC.
Observation:
- This case highlights an unusual presentation of disseminated intravascular coagulation.
- The patient experienced unexplained shock, a critical clinical sign.
Findings:
- Occult pulmonary embolism was identified as the underlying cause of the disseminated intravascular coagulation.
- The diagnostic challenge lay in identifying the thrombotic event without overt symptoms.
Implications:
- Physicians should consider pulmonary thromboembolism in cases of unexplained shock.
- Early recognition and management of thrombotic causes are crucial for patient outcomes.