title: [Defibrination syndrome in gastric tumors (author's transl)].
abstract: The two cases reported here were clinically misleading because of the negative history. A 49-year-old woman was treated for thrombosis migrans of the vena cava and a consumption coagulopathy; a 15-year-old boy for gastro-intestinal hemorrhages and hematemesis with fibrinolysis syndrome. Since the coagulation disturbances did not subside in spite of the treatment, an exploratory laparotomy was performed which revealed a solid carcinoma of the stomach in both cases. The hemorrhagic tendency can be traced back to the coagulation accelerator factors which escape from the tumor and metastases into the blood.
mesh_terms: D000293:Adolescent; D000347:Afibrinogenemia / Q000209:etiology; D001778:Blood Coagulation Disorders / Q000209:etiology*; D002277:Carcinoma / Q000150:complications; D003951:Diagnostic Errors; D004211:Disseminated Intravascular Coagulation / Q000175:diagnosis; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006396:Hematemesis; D006801:Humans; D007813:Laparotomy; D008297:Male; D008551:Melena; D008875:Middle Aged; D009362:Neoplasm Metastasis; D013274:Stomach Neoplasms / Q000150:complications*; D013577:Syndrome; D013916:Thrombelastography; D013927:Thrombosis / Q000209:etiology; D014684:Venae Cavae
vernacular_title: Defibrinierungs-Syndrom bei Magentumoren