J.Jpn. Surg. Soc.. 90(8): 1266-1269, 1989
Case report
HEMORRHAGIC GASTRIC ULCER ASSOCIATED WITH CONSUMPTION COAGULOPATHY IN THE DISSECTING AORTIC ANEURYSM
ーA CASE REPORT
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The 2nd Department of Surgery, Hamamatsu University, School of Medicine, Hamamatsu, Japan Hiroyuki Konno, Shukichi Sakaguchi, Takahiro Koizumi, Katsunori Aoki |
A 68 year old man, who had diagnosed as having the dissecting aortic aneurysm (DeBakey III) in 1985 and had been attending to our hospital as an outpatient since then, was admitted to our hospital because of the hemorrhagic gastric ulcer on July 3rd, 1987. Although the wide resection of stomach was performed after the admission, the hemorrhagic stomal ulcer was developed 4 weeks after the operation. The administration of heparin in addition to antacids to improve the consumption coagulopathy, having been caused by thrombus formation in the aneurysm, was effective in control of the hemorrhage and also making the stomal ulcer scarred.
It is suggested that ischemia of the stomach mucosa, which seemed to have been induced by the dissecting aortic aneurysm, was responsible for the development of the ulcers in this case and the hemorrhage from them was caused mainly by the consumption coagulopathy derived from thrombus formation in the aneurysm.
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