Case Reports in Oncology (Aug 2022)

Disseminated Intravascular Coagulation with Enhanced Fibrinolysis Caused by Heart Metastasis of Bladder Urothelial Carcinoma

  • Clara Helal,
  • Tiphaine Lambert,
  • Bérangère S. Joly,
  • Clément Dumont,
  • Hélène Gauthier,
  • Stéphane Culine

DOI
https://doi.org/10.1159/000523822
Journal volume & issue
Vol. 15, no. 2
pp. 745 – 749

Abstract

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Heart metastases from urothelial carcinoma of the bladder have rarely been reported in the literature. We present a case complicated by symptomatic disseminated intravascular coagulation in a 67-year-old woman. A rapid and sustained recovery from hemostatic troubles was obtained following fibrinogen supplementation combined with second-line paclitaxel chemotherapy.

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