Abstract
Aortic abdominal aneurysm (AAA) is an uncommon etiology of disseminated intravascular coagulation (DIC). The authors report a case of an 81-year-old male patient who presented with hematuria, intraoral hemorrhage, melaenas and ecchymosis of the lower back and of the abdominal wall, after being medicated with etoricoxib for a back pain. During the study, an abdominal aortic aneurysm, which prolonged to the left common and internal iliac artery, was discovered. The diagnosis of AAA induced DIC was made. After endovascular aneurysm repair (EVAR), the patient’s hemorrhagic manifestations disappeared and the laboratory findings normalized. In conclusion, the state-of-the-art treatment of DIC is the elimination of the underlying disease; in this case, EVAR was proven to be effective in treating the aortic aneurysm and the AAA-related DIC.
Highlights
Maria (CHLN), Lisbon; 2Lisbon these two conditions
A previous report sug- Conflict of interest: The authors declare no Academic Medical Center; 3Blood Bank gested that up to 4% of aneurysms are com- potential conflict of interest
The e authors report a case of an 81-year-old male s patient who presented with hematuria, intrau oral hemorrhage, melaenas and ecchymosis of the lower back and of the abdominal l wall, after being medicated with etoricoxib ia for a back pain
Summary
An 81-year-old man presented at the emergency unit of another hospital with hematuria, intraoral hemorrhage, melaenas and ecchymosis of the lower back and of the. The laboratory data on the day of the surgery are shown in Table 1 and a total of 5 units of packed red cells and 6 g of fibrinogen were given between admission and surgery. He did not have deep venous thrombosis of the lower limbs. The patient was taking aspirine external iliac arteries (Figure 3c and 3d) and hepatic failure, severe toxic or immunologic (100 mg), omeprazole (20 mg), amlodipine a bifurcated endovascular graft reactions, and vascular abnormalities.[1] In an (10 mg) and tamsulosin (0.4 mg) and was device (Zenith Flex®, Cook Medical, usual acute DIC secondary to infection or an ex-smoker, had a history of moderate Bloomington, IN, USA) was deployed trauma, thrombi are formed in the circulato- alcohol intake and was fully independent.
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