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

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

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)e7-e8
JournalUrology
Volume86
Issue number2
DOIs
StatePublished - Aug 1 2015

All Science Journal Classification (ASJC) codes

  • Urology

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