Mytnik M., Petrík J.: Coagulation Disorder and its Uncommon Complication in a Patient with Obturating Sigmoid Carcinoma

Česká verzia

Authors: M. Mýtnik; J. Petrík
Authors place of work: Chirurgická klinika FNsP J. A. Reimana, Prešov, Slovenská republika, prednosta: MUDr. Miroslav Mytnik, PhD.
Published in the journal: Rozhl. Chir., 2011, roč. 90, č. 4, s. 232-236.
Category: Monothematic special - Original

Summary

Aim:
The authors point to the risk of hypocoagulation by patients with colorectal carcinoma, who use warfarin.

Material and methods:
185 patients with colorectal cancer were examined for plattellets, prothrombin time and D-dimer.

Results:
Only 64 patients (35%) had haemocoagulation in the standard, 114 patients (61%) were hypercoagulable and only 7 patients (3.7%) were hypocoagulable. The authors present an interesting case report of a patient who used warfarin. This patient has ileos state by sigmoideal cancer, and in parallel a progressive intramural haematoma in the hepatic flexure of the colon.

Conclusion:
Hypocoagulation state with an intramural haematoma of colon may be very dangerous complication for patients with colorectal cancer and ileos state. Very careful choice of surgical strategy is necessary.

Key words:
colorectal – cancer – hypocoagulation – haemathoma

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