A Giant Celiac Aneurysm with Acute Aortic Dissection and Idiopathic Thrombocytonenic Purpura
10.4326/jjcvs.42.141
- VernacularTitle:巨大腹腔動脈瘤に急性大動脈解離，特発性血小板減少性紫斑病を合併した1例
- Author:
Yasuyuki Toyoda
;
Kenji Suzuki
;
Takuya Maeda
;
Masakuni Ishiyama
;
Shigeyuki Aomi
- Publication Type:Journal Article
- Keywords:
giant celiac aneurysm;
acute aortic dissection;
idiopathic thrombocytonenic purpura
- From:Japanese Journal of Cardiovascular Surgery
2013;42(2):141-144
- CountryJapan
- Language:Japanese
-
Abstract:
We report a rare case of a giant celiac aneurysm complicated with nosocomial acute aortic dissection and idiopathic thrombocytonenic purpura (ITP). A 75-year-old man with ITP complained of abdominal swelling. Enhanced computed tomography (CT) showed a giant celiac aneurysm 72 mm in size. Surgery repair was scheduled and platelet count increased by intravenous administration of immunoglobulin. After admission, he complained of back pain. CT showed aortic dissection (DeBakey classification : IIIb) and a celiac aneurysm enlarged to 78 mm. He underwent surgical repair for a giant celiac aneurysm and splenectomy after management with medial therapy.
