Abstract
A case of disseminated intravascular coagulation (DIC) presenting after surgery for facial trauma associated with multiple facial bone fractures is described. With regard to the oral and maxillofacial region, DIC has been described in the literature following head trauma, infection, and metastatic disease. Until now, only 5 reports have described DIC after surgery for facial injury. DIC secondary to facial injury is thus rare. The patient in this case was young and had no medical history. Preoperative hemorrhage or postoperative septicemia may thus induce DIC.
Highlights
Disseminated intravascular coagulation (DIC) is a dynamic pathologic process in which thrombin forms within the vascular system [1]
We report a rare case of DIC after surgery for facial trauma associated with multiple facial bone fractures
To the best of our knowledge, the English literature contains only 19 reports of DIC in relation to oral and maxillofacial surgery except for oral cancer (Table 2). This means that DIC associated with oral and maxillofacial surgery is uncommon
Summary
Disseminated intravascular coagulation (DIC) is a dynamic pathologic process in which thrombin forms within the vascular system [1]. DIC is commonly associated with malignant neoplasm, major trauma, head injury, infection, and obstetric complications [2]. With regard to the oral and maxillofacial region, DIC has been described in the literature following head trauma, infection, and metastatic disease [3]. A review of literature shows only a small number of reports describing DIC in relation to oral and maxillofacial surgery [4]. Few reports have mentioned DIC after surgery for facial injury. We report a rare case of DIC after surgery for facial trauma associated with multiple facial bone fractures
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