Ando Takashi, Akiyama Daichi, Okada Hiroshi, Date Kazuma, Furukawa Hiroshi, Takeda Makoto
Department of Cardiovascular Surgery, Yokohama Rosai Hospital, Yokohama, Kanagawa, Japan.
Ann Vasc Dis. 2016;9(4):334-337. doi: 10.3400/avd.cr.16-00081. Epub 2016 Nov 23.
Abdominal aortic aneurysm (AAA) is known to be rarely accompanied by disseminated intravascular coagulation (DIC). We report a case of AAA with DIC. An 81-year-old man with abdominal pain referred to our hospital. Computed tomography demonstrated an AAA (maximum diameter: 90 mm). The patient underwent a laparotomy, and an abdominal aorta replacement was performed. At the 3-month follow-up, the patient underwent eradication treatment for 1 week. After treatment, the platelet count dramatically increased. The mechanism by which eradication therapy improves hematological parameters has not been elucidated; however, this noninvasive treatment effectively resolved DIC associated with AAA.