A CASE REPORT OF ABDOMINAL AORTIC ANEURYSM ASSOCIATED WITH IDIOPATHIC THROMBOCYTOPENIC PURPURA

A 71-year-old woman was referred to the department bacause of a pulsatile abdominal mass. CT scan showed an abdominal aortic aneurysm with the maximum diameter of 6cm. Platelet count was 12.0× 104/mm3 two and a half years before admission, 9.3×104/mm3 one year before admission and 6.4×104/mm3 on the day before operation and the value of PAIgG was increased to 116.4ng/107 cells. On the day before operation 15g of γ-globulin was transfused. On the operation day the same amount of γ-globulin and 20 units of platelet and on the first postoperative day 10 units of platelet were transfused. The aneurysm was successfully replaced with a Y graft without any complications. Platelet count was 12.8×104/mm3 just after the operation, 9.7×104/mm3 on the second day, and increased to the maximum of 23.4×104/mm3 on the 18th day. Then it turned to decrease and dropped to 7.0 × 104/mm3 10 months after the opration. With the administration of highdose of γ-globulin and platelets, the aneurysm was replaced safely.