Abstract
We report a case of disseminated intravascular coagulation secondary to residue of a dissecting thoracic aortic aneurysm with initial manifestation of spontaneous hemorrhage from the gingiva.
A female patient, 64years of age with persistent gingival bleeding at the right side of upper molars region was referred to our hospital on January 31st, 2001. The aneurysm was surgically replaced by synthetic vessel approximately a year ago at a department of cardiovascular surgery of a hospital. A hematological investigation as well as dental treatment were carried out because a coagulation disorder was suggested from the medical history and practical aspects. The blood test showed so much unusual score that she was referred to the physicians in our hospital. As a result, above-mentioned diagnosis was identified. The patient was recovered from initial state with performance of proper therapeutic regimen by physicians and dental management. Since then, she has been well under medical and dental control as an outpatient without sign of recurrence.
The results obtained through this case suggest us necessity and importance of laboratory investigation, consultation with physician and cooperative work between hospital dentists and general practitioners in dentistry for the medically compromised patients.
