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Canadian Journal of Anesthesia, Vol 22, 149-153, Copyright © 1975 by Canadian Anesthesiologists' Society

Post-Operative Renal Failure Caused by Disseminated Intravascular Coagulation

ALEXANDER W. GOTTA 1, DOROTHY MURRAY 1, COLLEEN A. SULLIVAN 1, and JOHN SEAMAN 1

1 Departments of Anesthesiology and Medicine, St. Mary's Hospital, Brooklyn, New York, Catholic Medical Center of Brooklyn and Queens

A 22-year-old man suffered a stab wound of the femoral artery and vein. This was followed by disseminated intravascular coagulation. Renal failure then occurred presumably due to fibrin deposition in the small vessels of the kidney. The D.I.C. was successfully treated with heparin and the renal failure with peritoneal dialysis. It is suggested that D.I.C. and consequent alterations in regional blood flow following trauma are not uncommon, and search should be made for these phenomena in every case of major trauma.






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Copyright © 1975 by the Canadian Anesthesiologists' Society.