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Coagulopathy induced by aortoiliac aneurysms.
1Department of Surgery, Royal Victoria Hospital, McGill University, Montreal, PQ.
Canadian Journal of Surgery. Journal Canadien De Chirurgie
|January 1, 1988
Summary
Diffuse intravascular coagulopathy (DIC), a bleeding disorder, rarely occurs with aortic aneurysms. Prompt diagnosis and surgical repair of the aneurysm are crucial for managing this complex condition.
Area of Science:
- Vascular Surgery
- Hematology
Background:
- Diffuse intravascular coagulopathy (DIC) is infrequently associated with aortic aneurysms.
- The coexistence of DIC and aortic aneurysms presents a significant clinical challenge requiring integrated medical and surgical management.
Observation:
- Two cases of coagulopathy linked to aortoiliac aneurysms are presented, illustrating the diverse clinical presentations.
- Clinical examination should include assessment for hematomas and ecchymoses.
Findings:
- Laboratory evaluation for DIC involves measuring fibrinogen, platelet counts, fibrin degradation products, prothrombin time, and partial thromboplastin time.
- Arteriography is a key diagnostic tool, with post-procedure monitoring for bleeding at puncture sites essential.
Implications:
- The primary treatment for DIC is the removal of the underlying cause, in this case, the aortic aneurysm.
- Surgical repair necessitates meticulous hemostasis and consideration of high-speed autotransfusion to manage significant blood loss.