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Pedal Gangrene Secondary to Disseminated Intravascular Coagulation with Gastric Carcinoma

Liza Gragasin-Saviano, DPM^*, Ernest Isaacson, BS and Rodney M. Stuck, DPM

^* Submitted during first-year residency, Edward Hines, Jr Hospital, Department of Veterans Affairs, Hines, IL.
Submitted during fourth year, William M. Scholl College of Podiatric Medicine, Chicago, IL.
Chief, Podiatry Section, Edward Hines, Jr Hospital, Department of Veterans Affairs; Associate Professor, Loyola University Stritch School of Medicine, Department of Orthopaedic Surgery and Rehabilitation. Mailing address: 2160 S First Ave, Maywood, IL 60153.
The opinions and assertions contained herein are the private views of the authors and are not to be construed as official or as reflecting the views of the Department of Veterans Affairs.

Abstract

Consumptive coagulopathy resulting in a disseminated intravascular coagulation is most often seen in infectious diseases and hematologic malignancies. Solid tumors may be associated with disseminated intravascular coagulation that results in gangrene of the upper extremity. A case report of lower-extremity gangrene as the pathology for gastric carcinoma is presented. The need for a multidisciplinary approach to this clinical presentation is noted. (J Am Podiatr Med Assoc 92(3): 149-152, 2002)