Microangiopathic anaemia with thrombocytopaenia. Cure following excision of an angioma of the small intestine
Eugène, C.; Fingerhut, A.; Quevauvilliers, J.; Pourcher, J.; Meyer, G.; Charhon, F.; Bergue, A.; Ronat, R.
La Nouvelle Presse Medicale 7(3): 735-737
1978
ISSN/ISBN: 0301-1518 PMID: 347386 Document Number: 132379
The association of a mixed anaemia (by occult haemorrhage and microangiopathic haemolysis) with a thrombocytopaenia led to a search for a digestive angioma. Arteriography, followed by exploratory laparotomy with preoperative enteroscopy and frozen section histological examination, led to the discovery of a small bowel angioma (multiple phlebectasias) which was partially resected. A review of the literature emphasised the rarity of intestinal angiomas with thrombocytopaenia (Kasabach and Merrit syndrome) and forms a basis for the discussion of haematological abnormalities (intravascular coagulation, microangiopathic anaemia) which may be induced by such vascular malformations.