• Internal medicine · May 2022

    Case Reports

    Intramuscular Bleeding Triggered by Disseminated Intravascular Coagulation with Enhanced Fibrinolysis in a Patient with Prostate Cancer: A Case Report.

    • Eri Takada, Seiji Adachi, Yohei Horibe, and Masahito Shimizu.
    • Department of Internal Medicine, Gifu-Seino Medical Center, Gihoku Kosei Hospital, Japan.
    • Intern. Med. 2022 May 1; 61 (9): 141114131411-1413.

    AbstractDisseminated intravascular coagulation (DIC) is the most frequent coagulation disorder associated with solid tumors, including prostate cancer. We herein report a 76-year-old man who suffered from intramuscular bleeding of the right gluteus maximus. Laboratory data showed a pattern of DICwith enhanced fibrinolysis, and a general examination led to the diagnosis of advanced prostate cancer with multiple bone metastases. To our knowledge, this is the first report describing intramuscular bleeding as an initial manifestation of prostate cancer with DIC with enhanced fibrinolysis.

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