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Acute Intraoperative Disseminated Intravascular Coagulation During Suppurative Keloid Excision: A Case Report.
Bang Luong Nguyen1, Minh Quang Pham1,2, Tu Huu Nguyen1,2
1Center of Anesthesiology, Critical Care & Pain Management, Hanoi Medical University Hospital, Hanoi, Vietnam.
The American Journal of Case Reports
|June 4, 2026
Summary
Acute intraoperative disseminated intravascular coagulation (DIC) is rare, especially with chronic inflammation. Early recognition and multidisciplinary care are crucial for managing this life-threatening condition during surgery.
Area of Science:
- Surgery
- Hematology
- Critical Care Medicine
Background:
- Disseminated intravascular coagulation (DIC) is a severe coagulopathy with thrombosis and hemorrhage.
- DIC is common in sepsis, trauma, and malignancy, but rare during surgery, particularly with chronic inflammation and infection.
- A 62-year-old woman with recurrent keloids and chronic inflammation developed acute intraoperative DIC during keloid excision.
