J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 372KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 95(1): 44-47, 1994

Case report

SURGICAL TREATMENT OF ABDOMINAL AORTIC ANEURYSM ASSOCIATED WITH IDIOPATHIC THROMBOCYTOPENIC PURPURA AND CONSUMPTION COAGULOPATHY : A CASE REPORT

The Second Department of Surgery, Gunma University School of Medicine, Maebashi, Japan

Hideaki Ichikawa, Yoshiro Hamada, Susumu Ishikawa, Kyoichiro Tsuda, Ichiro Yoshida, Toru Takahashi, Yasuo Morishita

A 68-year-old man who had abdominal aortic aneurysm (AAA) associated with idipopathic thrombocytopenic purpura (ITP) and consumption coagulopathy was successfully operated upon. The count of platelet was improved from 1.4×104µL to 8.0×104µL by the preoperative treatment with γ-globulin (400mg/kg/day for 5 days) and heparin sodium (10000～15000 unit/day). Abdominal aortic aneurysm was replaced with a Y-shaped knitted Dacron graft, and splenectomy was performed for ITP. No severe hemomorrhagic diathesis was encountered during and after the operation. This is the first report of surgical treatment of AAA associated with ITP and consumption coagulopathy.

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