Subacute Disseminated Intravascular Coagulation ina Patient with Liver Metastases of a Renal Cell Carcinoma

Disseminated intravascular coagulation (DIC) is a syndrome characterised by simultaneous bleeding and thromboembolicformation. Its acute form is associated with severe bacterial infections and hematological malignancies. It has a fulminantpresentation with prolonged bleeding times and diffuse thrombosis. On the other hand, chronic DIC can be asymptomatic for longperiods of time and can be seen in patients with disseminated malignancies. This case report describes a patient who developedDIC within one week and bled profusely from venipuncture wounds. An underlying hepatogenic metastasised renal cell carcinomaappeared to be the cause. This is an uncommon and diagnostically challenging presentation