title: Consumption coagulopathy associated with aneurysms of the abdominal aorta and the bilateral femoral arteries. Report of a case.
abstract: The authors report a case of a 70-year-old man, with repeating episodes of systemic subdermal hematoma due to consumption coagulopathy associated with abdominal aortic aneurysm and the bilateral femoral arterial aneurysms. Prior to the first operation for abdominal aortic repair, anticoagulation therapy was applied to treat thrombocytopenia and hypofibrinogenemia. Five years following the first surgery, the same treatment was required before resection of the femoral lesions. Consumption coagulopathy is seen in approximately 1-4% population of aortic aneurysms, however, repeated appearance of symptomatic coagulopathy is rarely reported. Anticoagulation therapy was effective to normalize the coagulation and fibrinolytic system and followed by uneventful surgical resection of the aneurysms.
authors: First Department of Surgery, Kumamoto University School of Medicine, Kumamoto, Japan.
authors: J
authors: J
authors: Utoh
authors: R
authors: R
authors: Kunitomo
authors: M
authors: M
authors: Hara
authors: S
authors: S
authors: Hagiwara
authors: S
authors: S
authors: Uemura
authors: E
authors: E
authors: Uemura
authors: N
authors: N
authors: Kitamura
mesh_terms: D000368:Aged; D000783:Aneurysm / Q000097:blood / Q000150:complications* / Q000601:surgery; D000925:Anticoagulants / Q000627:therapeutic use; D017544:Aortic Aneurysm, Abdominal / Q000097:blood / Q000150:complications* / Q000601:surgery; D004211:Disseminated Intravascular Coagulation / Q000188:drug therapy / Q000209:etiology*; D005263:Femoral Artery; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D008297:Male
chemical_list: D000925:Anticoagulants; D006493:Heparin