Key result
General treatment for chronic DIC achieves hemostasis in persistent aneurysm-related post-extraction hemorrhage.
Case Report (n=1)
Highlights the importance of considering systemic conditions like chronic DIC secondary to dissecting aneurysm in cases of persistent post-extraction hemorrhage.
Answers are grounded in this paper and cite their sources.
Alerts clinicians to rare DIC-related bleeding post-extraction; leaves open need for targeted cardiovascular screening in refractory cases.
Since elderly patients with systemic diseases often undergo tooth extraction, it is difficult to predict the risk of and to optimally treat post-extraction hemorrhage. We report a rare case of persistent hemorrhage that occurred after tooth extraction caused by chronic disseminated intravascular coagulation (DIC) as a complication of dissecting aneurysm. A 69-year-old man who underwent extraction of a maxillary molar had persistent bleeding, which could not be stopped by continuous local treatment to promote hemostasis. After a general examination, we diagnosed chronic DIC caused by an extensive dissecting aneurysm, based on evidence of advanced fibrinogenolysis. Hemostasis was achieved by general treatment for chronic DIC. Appropriate diagnosis and treatment of both local and general conditions are necessary for post-extraction hemorrhage.
No takes yet. Share an insight, caveat, or question.
Amano et al. (2008) conducted a case report in Post-extraction hemorrhage complicated by aneurysm-related chronic DIC (n=1). General treatment for chronic DIC was evaluated on Hemostasis. Hemostasis of persistent post-extraction hemorrhage caused by aneurysm-related chronic DIC was successfully achieved through general treatment for chronic DIC.
Synapse has enriched 10 related papers. Consider them for comparative context: