A case of disseminated intravascular coagulation after tooth extraction in abdominal aortic aneurysm.
- Author:
Byung In YUN
1
;
Jeong Yeol LEE
;
Hee Jong NOH
;
Min Ha JOO
;
Man Jo JEON
;
Jong Ho AHN
;
Heung Moon CHANG
Author Information
1. Department of Internal Medicine, College of Medicine, Hallym University, Chunchon, Korea.
- Publication Type:Case Report
- Keywords:
Disseminated intravascular coagulation (DIC);
Aortic aneurysm;
Tooth extraction
- MeSH:
Abdomen;
Aged;
Aneurysm;
Aorta, Abdominal;
Aortic Aneurysm;
Aortic Aneurysm, Abdominal*;
Dacarbazine;
Disease Susceptibility;
Disseminated Intravascular Coagulation*;
Fibrinogen;
Hemorrhage;
Heparin;
Humans;
Iliac Artery;
Physical Examination;
Plasma;
Thrombocytopenia;
Tooth Extraction*;
Tooth*
- From:Korean Journal of Medicine
2001;61(5):572-576
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Disseminated intravascular coagulation (DIC) is the result of a severe underlying disorder that initiates massive activation of the coagulation system. We report an unusual case of 79-year-old man who developed DIC after tooth extraction in abdominal aortic aneurysm. He was referred to our hospital because of persistent bleeding after tooth extraction. Physical examination indicated a pulsating mass in abdomen. Abdominal computerized tomography (CT) scan revealed 70 mm diameter aneurysm of the abdominal aorta, extending from the renal infrahilar level to the common iliac artery, and his coagulation profile showed the features of DIC by revealing thrombocytopenia, hypofibrinogenemia, and increased level of fibrinogen degradation product (FDP). After he had received blood component therapy including fresh frozen plasma and continuous intravenous heparin infusion (4,800 U/day), the bleeding diathesis and coagulopathy improved. He refused to have definitive surgery for the aneurysm.
