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William T. Siebert, MD; Ethan A. Natelson, MD

Arch Surg. 1976;111(5):539-541.

Abstract
• Each of two patients harboring a stable abdominal aortic aneurysm manifested severe recurrent bleeding consequent to chronic consumption coagulopathy (CCC). Both underwent successful aneurysmectomy, but in only one patient did bleeding cease and depressed clotting factors return to normal activity. In the other patient, subsequent observations suggested that his coagulopathy actually resulted from occult pancreatic carcinoma. We propose here criteria for establishing stable aneurysm as the cause of CCC and demonstrate the efficacy of heparin in reversing the coagulation defect prior to surgical intervention. These cases also illustrate that the discovery of CCC accompanying stable aneurysm may signal the presence of another underlying disorder.

(Arch Surg 111:539-541, 1976)

Author Affiliations
From the Department of Medicine, Section of Hematology, Baylor College of Medicine, and Methodist Hospital, Houston.

Footnotes
Accepted for publication Nov 21, 1975.

Reprint requests to St Joseph Hospital, 1919 LaBranch, Houston, TX 77002 (Dr Natelson).

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