title: Incidental carcinoma of the prostate gland presenting with initial manifestation of disseminated intravascular coagulopathy (dic) in a middle aged man: a case report.
abstract: BACKGROUND
  Incidental carcinoma of the prostate gland is a common clinical problem among elderly males but this malignancy presenting initially with features of Disseminated Intravascular Coagulopathy (DIC) in the African blacks is rare. Disseminateded intravascular coagulathy is the most frequent coagulation disorder in patients with prostate cancer, However DIC as a first manifestation of prostate cancer is unusual.
  
  
  METHODS
  This paper reports a case of a 56 year old Nigerian civil servant who presented initially with clinical features of DIC characterised by bleeding from multilple orifices but was subsequently diagnosed at autopsy to be infiltrating adenocarcinoma of the prostate.
  
  
  CONCLUSIONS
  This rare case of DIC should be considered especially in elderly men when no other cause can be found for coagulopathy.
authors.affiliation: Department of Surgery, Obafemi Awolowo University, Ile - Ife, Osun State, Nigeria. kayosalako@yahoo.com.
authors.forename: Ayo Abdulkadir
authors.initials: AA
authors.lastname: Salako
authors.forename: Olukayode Adeolu
authors.initials: OA
authors.lastname: Arowolo
authors.forename: Emmanuel Abidemi
authors.initials: EA
authors.lastname: Omonisi
authors.forename: Adewale Oluseye
authors.initials: AO
authors.lastname: Adisa
authors.forename: Nicholas Akinwale
authors.initials: NA
authors.lastname: Titiloye
authors.forename: Kayode
authors.initials: K
authors.lastname: Adelusola