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Case Report

Aneurysm-Related Disseminated Intravascular Coagulation Successfully Treated by Endovascular Repair

1
Vascular Surgery Department, Heart and Vessels Division, Hospital de Santa Maria (CHLN), 1649-035 Lisbon, Portugal
2
Lisbon Academic Medical Center, 1649-028 Lisbon, Portugal
3
Blood Bank and Transfusion Medicine, Hospital de Santa Maria (CHLN), 1649-028 Lisbon, Portugal
4
Medical School, University of Lisbon, 1649-004 Lisbon, Portugal
*
Author to whom correspondence should be addressed.
Hematol. Rep. 2019, 11(4), 8189; https://doi.org/10.4081/hr.2019.8189
Submission received: 2 June 2019 / Revised: 10 October 2019 / Accepted: 23 October 2019 / Published: 4 December 2019

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.
Keywords: aneurysm; disseminated intravascular coagulation; endovascular aneurysm; disseminated intravascular coagulation; endovascular

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MDPI and ACS Style

Gomes, M.L.; Lopes, A.; Freixo, A.P.; Sobrinho, G.; Fernandes, R.; Pedro, L.M. Aneurysm-Related Disseminated Intravascular Coagulation Successfully Treated by Endovascular Repair. Hematol. Rep. 2019, 11, 8189. https://doi.org/10.4081/hr.2019.8189

AMA Style

Gomes ML, Lopes A, Freixo AP, Sobrinho G, Fernandes R, Pedro LM. Aneurysm-Related Disseminated Intravascular Coagulation Successfully Treated by Endovascular Repair. Hematology Reports. 2019; 11(4):8189. https://doi.org/10.4081/hr.2019.8189

Chicago/Turabian Style

Gomes, Miguel Lemos, Alice Lopes, Ana Parente Freixo, Gonçalo Sobrinho, Ruy Fernandes, and Luís Mendes Pedro. 2019. "Aneurysm-Related Disseminated Intravascular Coagulation Successfully Treated by Endovascular Repair" Hematology Reports 11, no. 4: 8189. https://doi.org/10.4081/hr.2019.8189

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