Korean J Med.  2001 Nov;61(5):572-576.

A case of disseminated intravascular coagulation after tooth extraction in abdominal aortic aneurysm

• Yun BI
• Lee JY
• Noh HJ
• Joo MH
• Jeon MJ
• Ahn JH
• Chang HM

Abstract

Disseminated intravascular coagulation (DIC) is the result of a severe underlying disorder that initiates massive activation of the coagulation system. We report an unusual case of 79-year-old man who developed DIC after tooth extraction in abdominal aortic aneurysm. He was referred to our hospital because of persistent bleeding after tooth extraction. Physical examination indicated a pulsating mass in abdomen. Abdominal computerized tomography (CT) scan revealed 70 mm diameter aneurysm of the abdominal aorta, extending from the renal infrahilar level to the common iliac artery, and his coagulation profile showed the features of DIC by revealing thrombocytopenia, hypofibrinogenemia, and increased level of fibrinogen degradation product (FDP). After he had received blood component therapy including fresh frozen plasma and continuous intravenous heparin infusion (4,800 U/day), the bleeding diathesis and coagulopathy improved. He refused to have definitive surgery for the aneurysm.

Keyword

Disseminated intravascular coagulation (DIC); Aortic aneurysm; Tooth extraction

MeSH Terms

Abdomen
Aged
Aneurysm
Aorta, Abdominal
Aortic Aneurysm
Aortic Aneurysm, Abdominal*
Dacarbazine
Disease Susceptibility
Disseminated Intravascular Coagulation*
Fibrinogen
Hemorrhage
Heparin
Humans
Iliac Artery
Physical Examination
Plasma
Thrombocytopenia
Tooth Extraction*
Tooth*
Dacarbazine
Fibrinogen
Heparin