Intraoperative Disseminated Intravascular Coagulation During Thoracolumbar Decompression in a Patient With Metastatic Carcinoma of the Prostate: Etiology, Diagnosis, and Treatment
Bibliographic record
Abstract
Various factors may be responsible for disturbances of coagulation function during the perioperative period. Disseminated intravascular coagulation or coagulopathy (DIC) results from the widespread activation of the clotting cascade on the endothelial surface throughout the microvasculature that results in the formation of thrombin and fibrin. Although an uncommon cause of intraoperative bleeding, previous reports have noted the occurrence of DIC in association with adenocarcinoma of the prostate. We present a 62-year-old man with known metastatic carcinoma of prostate, who presented with rapidly progressing paraplegia and incontinence. During an emergent posterior thoracolumbar decompression and instrumentation, he developed excessive blood loss and DIC. The potential etiologies for intraoperative DIC are reviewed, the diagnosis is discussed, and perioperative management strategies are presented. J Med Cases. 2015;6(9):426-429 doi: http://dx.doi.org/10.14740/jmc2264w
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.002 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.003 | 0.003 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".