Document Detail


Consumptive coagulopathy associated with Gorham syndrome and subsequent Kasabach-Merritt syndrome during pregnancy: a case report.
MedLine Citation:
PMID:  18210901     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Gorham and Kasabach-Merritt syndrome are rare diagnoses that can complicate pregnancy by increasing the risk of pelvic fracture and consumptive coagulopathy, respectively. CASE: A 23-year-old woman, gravida 2, para 0101, with a prenatal diagnosis of Gorham syndrome from her previous pregnancy was admitted at 32 weeks' gestation with severe back and flank pain. Computed tomographic findings revealed multiple lytic lesions of the pelvis in addition to large hemangiomas. Similar to her first pregnancy, she quickly developed consumptive coagulopathy and required prompt preterm delivery. The postoperative course was complicated by prolonged intensive care and multiple transfusions. CONCLUSION: The consumptive coagulopathy associated with Gorham syndrome and secondary Kasabach-Merritt syndrome can mimic severe preeclampsia, especially when recurrent.
Authors:
Eliza M F Berkley; Geoffrey J Gill; Lisa E Moore; William F Rayburn
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of reproductive medicine     Volume:  52     ISSN:  0024-7758     ISO Abbreviation:  J Reprod Med     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2008-01-23     Completed Date:  2008-02-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0173343     Medline TA:  J Reprod Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1103-6     Citation Subset:  IM    
Affiliation:
Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, University of New Mexico School of Medicine, Albuquerque, USA. eberkley@salud.unm.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Bone Neoplasms / complications*,  diagnosis
Cesarean Section
Disseminated Intravascular Coagulation / complications*,  diagnosis,  therapy
Erythrocyte Transfusion
Female
Hemangioma, Cavernous / complications*,  diagnosis
Humans
Infant, Newborn
Infant, Premature
Male
Osteolysis, Essential / complications*
Pelvic Neoplasms / complications*,  diagnosis
Pregnancy
Pregnancy Complications, Hematologic / diagnosis*,  therapy
Syndrome
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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