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Target Concepts:
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Query: UMLS:C0012739 (
disseminated intravascular coagulation
)
8,673
document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)
A 65-year-old man with sudden profound loss of vision in his right eye due to sub-periosteal orbital haemorrhage was found to have
disseminated intravascular coagulation
(
DIC
) secondary to metastatic prostatic carcinoma. CT-scan did not reveal any orbital metastases. A lateral canthotomy did not help to restore the vision. Orbital haemorrhage is known to occur with
DIC
due to different causes. To the best of our knowledge this is the first report of orbital haemorrhage with
DIC
related to prostatic carcinoma. This case emphasises the importance of considering systemic factors in cases of non-traumatic haemorrhage, along with imaging studies to rule out any co-existing vascular anomaly.
Orbit
2004 Sep
PMID:Orbital haemorrhage with loss of vision in a patient with disseminated intravascular coagulation and prostatic carcinoma. 1554 34
A 39-year-old male developed bilateral periorbital oedema and tense orbits in keeping with orbital compartment syndrome (OCS) shortly after presenting to the emergency department for uncontrollable epistaxis. Bilateral lateral canthotomy and inferior cantholysis was performed within 30 minutes of onset, with the left side further decompressed via superior cantholysis. Computed tomography demonstrated bilateral proptosis and optic nerve stretch, but no intraorbital haemorrhage or haematoma. Laboratory findings were consistent with
disseminated intravascular coagulation
(
DIC
) and sepsis of unknown origin. The right visual acuity recovered to 6/6 -2 from counting fingers, but the left eye failed to improve beyond light perception. This unique case of OCS is the first associated with
DIC
which had no evidence of intraorbital haemorrhage.
Orbit
2018 Oct
PMID:Bilateral orbital compartment syndrome in a patient with disseminated intravascular coagulation. 2930 42