A CASE OF SPLENIC ARTERY ANEURYSMS ASSOCIATED WITH CONSUMPTION COAGULOPATY

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  • KANAI Toshikazu
    Department of Surgery, Inasa Red Cross Hospital Department of Surgery, Shimizu Municipal Hospital
  • WATAHIKI Yoichi
    Department of Surgery, Inasa Red Cross Hospital Department of Surgery, Shimizu Municipal Hospital
  • YAMAZAKI Masanori
    Department of Surgery, Shimizu Municipal Hospital
  • OHARA Makoto
    Department of Surgery, Shimizu Municipal Hospital

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Other Title
  • 消費性凝固障害を合併した多発性ひ動脈りゅうの１例

Description

A 62-year-old woman was admitted to hospital because of a pontine hemorrhage. Splenic artery aneurysms with thrombi (diameters: 38mm and 52mm) were observed during an abdominal CT scan. Petechiae were also found on her upper and Iower extremities. A laboratory examination revealed thrombocytopenia and coagulation/fibrinolysis abnormalities. Anti-coagulation treatment was performed prior to surgery, and no severe hemorrhagic diathesis was encountered during the operation. The patient's bleeding tendency and coagulation/fibrinolysis abnormalities improved after the surgery. We presumed that the cause of the abnormalities was consumption coagulopathy associated with multiple splenic artery aneurysms.

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