[Isolated iliac artery aneurysms associated with disseminated intravascular coagulation (DIC)].
An 84-year-old man was referred to our hospital on December 3, 1993, because of excessive bleeding after tooth extraction. Coagulation studies revealed thrombocytopenia (2.2 x 10(4)/microliter), increased serum levels of FDP-E (3172 ng/ml) and D dimer (42.6 micrograms/ml), and increased plasma levels of thrombin-atithrombin III complex (48.0 ng/ml) and plasmin-alpha 2-plasmin inhibitor complex (6.8 micrograms/ml). Computed tomography showed bilateral common iliac artery aneurysms. A diagnosis of DIC due to bilateral common iliac artery aneurysms was made. Heparin (10,000 U/day) administered to treat DIC resulted in good control, and operative repair of the aneurysms was successful. This is the second reported case of isolated iliac artery aneurysms associated with DIC.
Ichihara
H
H
First Department of Internal Medicine, School of Medicine, University of Tokushima.
Mima
N
N
Akaike
M
M
Azuma
H
H
Shigekiyo
T
T
Saito
S
S
D000368:Aged; D000369:Aged, 80 and over; D000783:Aneurysm / Q000150:complications*; D004211:Disseminated Intravascular Coagulation / Q000150:complications*; D006801:Humans; D007083:Iliac Artery; D008297:Male; D014081:Tooth Extraction