04 June 2026
: Case report 
Acute Intraoperative Disseminated Intravascular Coagulation During Suppurative Keloid Excision: A Case Report
Unusual clinical course, Diagnostic / therapeutic accidents
Bang Luong Nguyen ABCDEF 1, Minh Quang Pham ADEF 1,2, Tu Huu Nguyen ADEF 1,2, Nhung Thi Cuc Nguyen ADEF 3, Khoa Xuan Ngo ADEF 4,5, Mat Thi Nguyen ADEF 5, Anh Quang Pham ABCDEF 5, Trung Thai Vo ADEF 5, Hong Van Hoang ABCDEF 5*DOI: 10.12659/AJCR.951241
Am J Case Rep 2026; 27:e951241
Table 1 Laboratory results during the first 14 postoperative hours.
| Parameter | Preoperative | Immediate postoperative | 2 hours postoperative | 9 hours postoperative (after FFP, cryoprecipitate, RBC transfusion) | 14 hours postoperative (after platelet transfusion) |
|---|---|---|---|---|---|
| Platelet count (G/L) | 289 | 185 | 180 | 61 | 110 |
| PT (seconds) | 14 | 35 | 77 | 21 | 13 |
| PT (%) | 90 | 28 | 12 | 55 | 102 |
| PT-INR | 1.01 | 2.67 | 6.25 | 1.47 | 0.93 |
| aPTT (seconds) | 31 | 66 | 96 | 41 | 21.6 |
| rAPTT | 1,06 | 2.23 | 3.26 | 1.39 | 0.73 |
| Fibrinogen (g/L) | 3.08 | 0.5 | 0.6 | 2.72 | 2.52 |
| D-dimer (ng/mL) | >20 000 | ||||
| Hemoglobin (g/dL) | 14.6 | 12.2 | 7.2 | 6.0 | 6.4 |
| Creatinine (μmoL/L) | 68 | 158 | 198 | ||
| aPTT – activated partial thromboplastin time; FFP – fresh frozen plasma; PT – prothrombin time; PT-INR – prothrombin time-international normalized ratio; rAPTT – ratio of activated partial thromboplastin time; RBC – red blood cells. | |||||