Angiomatosis mesentérica masiva y hemorragia digestiva baja en paciente con síndrome de Klippel-Trenaunay-Weber
| Autor: | J. M. Álamo Martínez, M. Socas Macías, J. L. García-Moreno, A. Galindo Galindo, J. M. Suárez Grau, C. Bernal Bellido |
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| Rok vydání: | 2007 |
| Předmět: |
Disseminated intravascular coagulation
medicine.medical_specialty medicine.diagnostic_test business.industry Exploratory laparotomy medicine.medical_treatment Gastroenterology General Medicine Angiomatosis medicine.disease Intestinal Hemorrhage medicine.anatomical_structure Angiography Klippel-Trenaunay-Weber Syndrome medicine Radiology business Mesentery Penis |
| Zdroj: | Revista Española de Enfermedades Digestivas v.99 n.2 2007 SciELO España. Revistas Científicas Españolas de Ciencias de la Salud instname |
| ISSN: | 1130-0108 |
| Popis: | Hemogram showed 8.6 mg/dl hemoglobine, 80,000 platelets, and signs of disseminated intravascular coagulation with D dimers at 2000. During physical examination, we found penis varicosities and asymmetric leg hypertrophy (Fig. 1). Colonoscopy and angiography showed massive mesenteric angiomatosis (Fig. 2). An exploratory laparotomy confirmed the previously described findings, showing a massive mesenteric angiomatosis that included the internal and external iliac arteries and veins, which were unresectable (Fig. 3). The patient died a few months after diagnosis from massive intestinal hemorrhage. A diagnosis with Klippel-Trenaunay-Weber syndrome with mesenteric angiomatosis and an associated disseminated intravascular coagulation syndrome that led to angiomatosis (Kassabach-Merrit syndrome) was made. |
| Databáze: | OpenAIRE |
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