Disseminated intravascular coagulation as a complication of bursitis: angiogenesis and repetitive bleeding as potential factors for disseminated intravascular coagulation: a case report

• Published in: Journal of medical case reports Vol. 15; no. 1; p. 155
• Main Authors: Hamada, Taisuke, Nishihara, Tasuku, Mizuno, Yosuke, Kidani, Teruki, Tokiwa, Hiroki, Abe, Naoki, Sekiya, Keisuke, Kitamura, Sakiko, Takasaki, Yasushi, Miura, Hiromasa, Yorozuya, Toshihiro
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 10.04.2021; BioMed Central; BMC
• Subjects: Aged; Angiogenesis; Bacterial infections; Blood; Blood platelets; Bursitis; Bursitis - complications; Case Report; Case reports; Chronic inflammation; Cysts; DIC; Disseminated intravascular coagulation; Disseminated Intravascular Coagulation - etiology; Female; Fibrin; Fibrinolytic phenotype; Genotype & phenotype; Health aspects; Hematoma; Hemorrhage - etiology; Humans; Infections; Inflammation; Leukemia; Magnetic resonance imaging; Medical examination; Neoplasms; Pathophysiology; Surgery; Thrombosis; Tranexamic acid; Tumors; Angiogenesis; Chronic inflammation; Disseminated intravascular coagulation; Fibrinolytic phenotype; Intratumoral bleeding; Bursitis; DIC
• ISSN: 1752-1947; 1752-1947
• DOI: 10.1186/s13256-021-02773-x

Malignant tumors, such as acute leukemia and solid cancers, frequently cause disseminated intravascular coagulation. However, cases of disseminated intravascular coagulation as a complication of bursitis were not reported previously. A 72-year-old Japanese woman was scheduled to undergo resection of a rapidly growing subcutaneous tumor-like lesion on her left back. Preoperative blood tests suggested disseminated intravascular coagulation. The resected lesion was cystic tumor containing a hematoma. After the operation, the patient completely recovered from disseminated intravascular coagulation, indicating that disseminated intravascular coagulation in this case was caused by the tumor. Pathological examination of the resected tumor revealed considerable fibrin deposition and angiogenesis on the cyst wall, which was presumably a response to inflammation and indicated presence of repetitive intratumoral bleeding, subsequently leading to a diagnosis of chronic hemorrhagic bursitis. Clinicians should note that, despite being benign, soft-tissue tumors accompanied by inflammation with angiogenesis and repetitive intratumoral bleeding can cause disseminated intravascular coagulation, albeit rarely.