Disseminated Intravascular Coagulation Caused by an Abdominal Aortic Aneurysm—A Case Report

Pai, Narayan; Rao, M.; Parithivel, Vellore S.; Gerst, Paul H.

doi:10.1177/153857449002400611

Cited by 2 publications

(1 citation statement)

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“…Surgery is difficult when a patient has disseminated in travascular coagulation (DIC), which occurs in about 2% of patients with an aortic aneurysm [1], We describe a pa tient with chronic idiopathic thrombocytopenic purpura (ITP) and chronic DIC associated with an abdominal aor tic aneurysm which was successfully replaced. …”

Section: Introductionmentioning

confidence: 99%

Chronic Idiopathic Thrombocytopenic Purpura Complicated by Chronic Disseminated Intravascular Coagulation Associated with Abdominal Aortic Aneurysm

Minemura

Maekawa²,

Takagi³

et al. 1993

Acta Haematol

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A patient with chronic idiopathic thrombocytopenic purpura (ITP), chronic disseminated intravascular coagulation (DIC) and abdominal aortic aneurysm is described. He had severe thrombocytopenia and his platelet life span was shortened (29 h). Indium 111-labeled platelet scintigraphy demonstrated an increased accumulation of radioactivity over the aneurysm and the spleen. Following preoperative heparin therapy for DIC, the platelet count remained low (10 × 10⁹/l), while the DIC improved. Because of the elevated platelet-associated IgG, we considered that the patient had complicated chronic ITP. After intravenous immunoglobulin therapy, his platelet count increased. The aneurysm was successfully replaced with an artificial Y-graft vessel and a splenectomy was performed at the same time. The platelet count was maintained at about 60 × 10⁹/l after the operation and the patient is quite well now.

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Section: Introductionmentioning

confidence: 99%