Cirrhosis-related coagulopathy resulting in disseminated intravascular coagulation and spontaneous orbital hemorrhages

Julia Nemiroff, Samuel Baharestani, Viral V. Juthani, Kathryn S. Klein, Chris Zoumalan

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

A 33-year-old patient presented to our Emergency Department (ED) with left-sided eyelid ecchymoses and edema. A CT scan of the orbits demonstrated a left retrobulbar hemorrhage, prompting an ophthalmology consultation. Upon examination, the patient reported worsening eye pain and decreasing vision in the left eye. Despite aggressive management with superior and inferior lateral canthotomy/cantholysis with placement of an orbital drain, visual loss occurred, and the patient ultimately expired from her systemic condition. Coagulopathy from liver disease resulting in systemic hemorrhage is commonly seen. Orbital hemorrhage in this setting requires emergent diagnosis and management to prevent irreversible compressive optic neuropathy.

Original languageEnglish (US)
Pages (from-to)372-374
Number of pages3
JournalOrbit
Volume33
Issue number5
DOIs
StatePublished - Oct 1 2014
Externally publishedYes

Fingerprint

Disseminated Intravascular Coagulation
Fibrosis
Hemorrhage
Retrobulbar Hemorrhage
Eye Pain
Ecchymosis
Optic Nerve Diseases
Orbit
Eyelids
Ophthalmology
Hospital Emergency Service
Liver Diseases
Edema
Referral and Consultation

Keywords

  • Cirrhosis
  • Retrobulbar hemorrhage
  • Spontaneous orbital hemorrhage

ASJC Scopus subject areas

  • Ophthalmology
  • Medicine(all)

Cite this

Cirrhosis-related coagulopathy resulting in disseminated intravascular coagulation and spontaneous orbital hemorrhages. / Nemiroff, Julia; Baharestani, Samuel; Juthani, Viral V.; Klein, Kathryn S.; Zoumalan, Chris.

In: Orbit, Vol. 33, No. 5, 01.10.2014, p. 372-374.

Research output: Contribution to journalArticle

Nemiroff, Julia ; Baharestani, Samuel ; Juthani, Viral V. ; Klein, Kathryn S. ; Zoumalan, Chris. / Cirrhosis-related coagulopathy resulting in disseminated intravascular coagulation and spontaneous orbital hemorrhages. In: Orbit. 2014 ; Vol. 33, No. 5. pp. 372-374.
@article{ea2bcec6be0f4599b6b0dafb03d0f87c,
title = "Cirrhosis-related coagulopathy resulting in disseminated intravascular coagulation and spontaneous orbital hemorrhages",
abstract = "A 33-year-old patient presented to our Emergency Department (ED) with left-sided eyelid ecchymoses and edema. A CT scan of the orbits demonstrated a left retrobulbar hemorrhage, prompting an ophthalmology consultation. Upon examination, the patient reported worsening eye pain and decreasing vision in the left eye. Despite aggressive management with superior and inferior lateral canthotomy/cantholysis with placement of an orbital drain, visual loss occurred, and the patient ultimately expired from her systemic condition. Coagulopathy from liver disease resulting in systemic hemorrhage is commonly seen. Orbital hemorrhage in this setting requires emergent diagnosis and management to prevent irreversible compressive optic neuropathy.",
keywords = "Cirrhosis, Retrobulbar hemorrhage, Spontaneous orbital hemorrhage",
author = "Julia Nemiroff and Samuel Baharestani and Juthani, {Viral V.} and Klein, {Kathryn S.} and Chris Zoumalan",
year = "2014",
month = "10",
day = "1",
doi = "10.3109/01676830.2013.871298",
language = "English (US)",
volume = "33",
pages = "372--374",
journal = "Orbit",
issn = "0167-6830",
publisher = "Informa Healthcare",
number = "5",

}

TY - JOUR

T1 - Cirrhosis-related coagulopathy resulting in disseminated intravascular coagulation and spontaneous orbital hemorrhages

AU - Nemiroff, Julia

AU - Baharestani, Samuel

AU - Juthani, Viral V.

AU - Klein, Kathryn S.

AU - Zoumalan, Chris

PY - 2014/10/1

Y1 - 2014/10/1

N2 - A 33-year-old patient presented to our Emergency Department (ED) with left-sided eyelid ecchymoses and edema. A CT scan of the orbits demonstrated a left retrobulbar hemorrhage, prompting an ophthalmology consultation. Upon examination, the patient reported worsening eye pain and decreasing vision in the left eye. Despite aggressive management with superior and inferior lateral canthotomy/cantholysis with placement of an orbital drain, visual loss occurred, and the patient ultimately expired from her systemic condition. Coagulopathy from liver disease resulting in systemic hemorrhage is commonly seen. Orbital hemorrhage in this setting requires emergent diagnosis and management to prevent irreversible compressive optic neuropathy.

AB - A 33-year-old patient presented to our Emergency Department (ED) with left-sided eyelid ecchymoses and edema. A CT scan of the orbits demonstrated a left retrobulbar hemorrhage, prompting an ophthalmology consultation. Upon examination, the patient reported worsening eye pain and decreasing vision in the left eye. Despite aggressive management with superior and inferior lateral canthotomy/cantholysis with placement of an orbital drain, visual loss occurred, and the patient ultimately expired from her systemic condition. Coagulopathy from liver disease resulting in systemic hemorrhage is commonly seen. Orbital hemorrhage in this setting requires emergent diagnosis and management to prevent irreversible compressive optic neuropathy.

KW - Cirrhosis

KW - Retrobulbar hemorrhage

KW - Spontaneous orbital hemorrhage

UR - http://www.scopus.com/inward/record.url?scp=84907058328&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84907058328&partnerID=8YFLogxK

U2 - 10.3109/01676830.2013.871298

DO - 10.3109/01676830.2013.871298

M3 - Article

VL - 33

SP - 372

EP - 374

JO - Orbit

JF - Orbit

SN - 0167-6830

IS - 5

ER -