Acute disseminated intravascular coagulation developed after dilation and curettage in an adenomyosis patient

Jing Zhang, Xiong Xiao, Fangyuan Luo, Gang Shi, Yanmei He, Yuan Yao, Liangzhi Xu
Blood coagulation & fibrinolysis : an international journal in haemostasis and thrombosis · 2013 · vol. 24(7) , pp. 771–773 · doi:10.1097/mbc.0b013e3283641917 · PMID:23867345 · W2316593237
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⚙ AI-generated summary by claude@2026-06, 2026-06-08 ⓘ

This case report describes acute disseminated intravascular coagulation following dilation and curettage in an adenomyosis patient, with recovery after medical and surgical intervention.

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Abstract

We reported a rare case of acute disseminated intravascular coagulation (DIC) after dilation and curettage in an adenomyosis and missed abortion patient. The clinical performance improved after treatment with tranexamic acid, blood transfusions and subtotal hysterectomy. Hemorrhage, degeneration and necrosis were found in the myometrium. Pregnancy-related thrombotic tendency, accelerated uterus tissue injury after curettage, activation of coagulation system, microthrombosis formation, myometrium necrosis, exhaustion of coagulation factors and hyperfibrinolysis might play the crucial roles in the pathophysiology of acute DIC. Physicians should be alert that adenomyosis patients undergoing dilation and curettage may be in danger of DIC.

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Condition tags

adenomyosis

MeSH descriptors

Adenomyosis Dilatation and Curettage Disseminated Intravascular Coagulation Adenomyosis Adult Dilatation and Curettage Disseminated Intravascular Coagulation Disseminated Intravascular Coagulation Female Humans

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (9)

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