[A case of massive perioperative bleeding in a patient on two-drug antiplatelet therapy undergoing abdominal surgery].

We report a patient on two-drug antiplatelet therapy who underwent total gastrectomy, and developed massive perioperative bleeding. The operation was performed seven months after the placement of a drug-eluting stent (DES) for unstable angina. In perioperative care of patients with placed DES, we need to remember the risks of stent thrombosis and hemorrhagic complications, and consider the withdrawal of the antiplatelet drugs.