Orbital Compartment Syndrome as the Presenting Sign of Disseminated Intravascular Coagulation From Metastatic Prostatic Cancer to the Orbit.

Authors

• Hong Truong
• May Jean Counsilman
• Mahasweta Gooptu
• Elizabeth Pulte
• Anthony J Prestipino
• Costas D Lallas

Publication/Presentation Date

8-1-2015

Abstract

A 70-year-old man with castrate-resistant metastatic prostate cancer to the lumbar spine presented with sudden onset of left orbital compartment syndrome. Hematologic workup revealed disseminated intravascular coagulation with isolated left orbital hemorrhage. A canthotomy and blood product transfusions failed to control the bleeding and restore vision. Operative intervention found a new left orbital roof metastasis from primary prostatic carcinoma. Acute onset of headache or ocular pain in patients with metastatic prostate cancer warrants further workup to rule out orbital and intracranial metastases, rare but significant clinical entities that can lead to severe complications.

Volume

86

Issue

2

First Page

7

Last Page

8

ISSN

1527-9995

Published In/Presented At

Truong, H., Counsilman, M. J., Gooptu, M., Pulte, E., Prestipino, A. J., & Lallas, C. D. (2015). Orbital Compartment Syndrome as the Presenting Sign of Disseminated Intravascular Coagulation From Metastatic Prostatic Cancer to the Orbit. Urology, 86(2), e7–e8. https://doi.org/10.1016/j.urology.2015.05.017

Disciplines

Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods

PubMedID

26165617

Department(s)

Administration and Leadership

Document Type

Article