Laparoscopic myomectomy complicated by disseminated intravascular coagulation: a case report and review of the literature

Kasabach-Merritt-like phenomenon in a massive uterine leiomyoma presenting with chronic disseminated intravascular coagulation: A case report

“…In this case, there was clear evidence of this process in the excised leiomyoma, with multiple intravascular thrombi with areas of degeneration, infarction, and hemorrhage. Though acute DIC has been described during extensive myomectomy, chronic DIC from internal degeneration appears to be a relatively rare phenomenon [ 12 ]. To our knowledge and best review of the literature, this appears to be only the fourth documented case to date.…”

Disseminated Intravascular Coagulation after Myomectomy: A Case Report and Review of Literature

“…DIC has been reported as one of the more common hematological complication following myomectomy apart from rarer condition, such as microangiopathic hemolytic anemia, which can cause a diagnostic dilemma. 4,5 The other differential diagnosis in such scenario is thrombotic thrombocytopenic purpura (TTP).…”

“…10 Li et al reported a case of DIC following uncomplicated laparoscopic myomectomy and identified the disruption of pseudocapsule, oxytocin injection, morcellation and positive intrabdominal pressure as some of the possible contributory factors for development of the hematological complication. 5 Tsimpanakos et al highlighted the diagnostic dilemma following development of intravascular hemolysis and acute renal failure after myomectomy. 4 The author described the possible differential diagnosis of D-HUS and DIC and difficulty in differentiating the two in such acute clinical settings.…”