Refractory Disseminated Intravascular Coagulation Following Ovarian Torsion and Rupture in a Pregnant Patient

摘要

This report describes a case of a 36 year old pregnant woman presenting at 33 weeks’ gestation with torsion and rupture of a malignant ovarian tumour. She undergoes an emergency laparotomy, Caesarean section and oophorectomy following which develops severe Disseminated Intravascular Coagulation (DIC) develops. Persistent blood loss warranted multiple surgical explorations, as well as, blood and blood product transfusions in excess of 100 units. Additional complications that arose included hyperkalaemia and VF cardiac arrest. The clinician should be alerted to the possibility of a deleterious coagulopathy which may be seen following a malignant ovarian tumour rupture and torsion.