Acute disseminated intravascular coagulation following surgical resection of a myeloid sarcoma in a 57-year-old male

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Rohan Paul *
David Morgan
Michael Levitt
Ross Baker
(*) Corresponding Author:
Rohan Paul | rohansinghpaul@hotmail.com

Abstract

Myeloid sarcoma is a rare extramedullary tumour consisting of immature myeloid cells. It can arise at any anatomical location and often develops in the bowel. This report describes a case of severe acute disseminated intravascular coagulation (DIC) with multi-organ failure occurring in a 57-year-old man with chronic myelomonocytic leukaemia during bowel resection for newly diagnosed adenocarcinoma of the sigmoid colon. Histopa thology however revealed a differentiating myeloid sarcoma encompassing a well-differentiated adenocarcinoma. This is the first documented case of acute DIC to be triggered following surgical manipulation of myeloid sarcoma.

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Author Biographies

Rohan Paul, St John of God Hospital, Subiaco, WA

Medical Officer

(Intensive Care Unit)

David Morgan, St John of God Hospital, Subiaco, WA

Intensivist and Head of Department

(Intensive Care Unit)

Michael Levitt, St John of God Hospital, Subiaco, WA

Visiting Colorectal Surgeon

(Department of Colorectal surgery)

Ross Baker, Royal Perth Hospital, Murdoch University, Perth, WA

Haematologist

(Centre for Thrombosis and Haemophilia)