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Chronic disseminated intravascular coagulation presenting as renal mass

Manjiri Somashekhar1, Padmalatha S Kadamba, Mugdha Wakodkar

  • 1Department of Paediatric Surgery, MS Ramaiah Medical and Teaching Hospital, Bangalore, India.

Journal of Indian Association of Pediatric Surgeons
|December 17, 2009
PubMed

Insights

Disseminated intravascular coagulation (DIC) can present unusually. A child

Area of Science:

  • Pediatric Hematology
  • Coagulation Disorders
  • Renal Pathology

Background:

  • Disseminated intravascular coagulation (DIC) is a syndrome of systemic activation of coagulation.
  • Sepsis and trauma are common triggers for DIC.
  • Chronic DIC can have varied clinical presentations.

Observation:

  • A 3-year-old child presented with a large renal mass, initially suspected to be a Wilms' tumor.
  • Imaging revealed the mass to be a renal hematoma.
  • Laboratory tests indicated an underlying chronic DIC secondary to sepsis.

Findings:

  • The child's condition was diagnosed as non-overt DIC manifesting as a renal hematoma.
  • Conservative management led to the resolution of the renal hematoma.
  • Renal function returned to baseline following treatment.

Implications:

  • This case highlights the variable presentation of chronic DIC in children.
  • Early diagnosis through laboratory investigations is crucial for monitoring and treatment.
  • Addressing the underlying cause, such as sepsis, is key to managing DIC.

Keywords:
Chronic disseminated intravascular coagulationWilm's tumorrenal mass

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