[Microangiopathic anaemia with thrombocytopaenia. Cure following excision of an angioma of the small intestine (author's transl)].
The association of a mixed anaemia (by occult haemorrhage and microangiopathic haemolysis) with a thrombocytopaenia led to a search for a digestive angioma. Arteriography, followed by exploratory laparotomy with preoperative enteroscopy and frozen section histological examination, led to the discovery of a small bowel angioma (multiple phlebectasias) which was partially resected. A review of the literature emphasised the rarity of intestinal angiomas with thrombocytopaenia (Kasabach and Merrit syndrome) and forms a basis for the discussion of haematological abnormalities (intravascular coagulation, microangiopathic anaemia) which may be induced by such vascular malformations.
D000328:Adult; D000743:Anemia, Hemolytic / Q000150:complications / Q000209:etiology*; D004211:Disseminated Intravascular Coagulation / Q000175:diagnosis; D006391:Hemangioma / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D007414:Intestinal Neoplasms / Q000150:complications* / Q000175:diagnosis; D007583:Jejunum; D008297:Male; D013921:Thrombocytopenia / Q000150:complications / Q000209:etiology*
Anémie microangiopathique avec thrombopénie. Guérison par ablation d'un angiome du grêle.