Unrecognized pulmonary embolism presenting as disseminated intravascular coagulation.

@article{Stahl1984UnrecognizedPE,
  title={Unrecognized pulmonary embolism presenting as disseminated intravascular coagulation.},
  author={Rosalyn E. Stahl and J P Javid and Herwig Lackner},
  journal={The American journal of medicine},
  year={1984},
  volume={76 5},
  pages={772-8}
}
Six patients are described in whom disseminated intravascular coagulation of uncertain cause was found to be due to occult pulmonary embolism. The peripheral blood smear showed thrombocytopenia in all patients and schistocytes in four. Coagulation studies revealed increased levels of fibrinogen/fibrin degradation products (six of six patients), positive results for fibrin monomer (five patients), prolonged thrombin times (four patients), hypofibrinogenemia (three patients), prolonged… CONTINUE READING