Emergency Splenectomy in a patient with primary immune thrombocytopenia and hemoperitoneum
Primary immune thrombocytopenia is an acquired autoimmune disease, with a very variable clinical course, which causes an accelerated destruction by antibodies and an impaired platelet production. A case of a 40 year-old female patient of rural origin with a history of mitral stenosis and atrial fibr...
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| Format: | Article |
| Language: | Spanish |
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Centro Provincial de Información de Ciencias Médicas. Cienfuegos
2013-08-01
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| Series: | Medisur |
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| Online Access: | http://medisur.sld.cu/index.php/medisur/article/view/2279 |
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| author | Liermis Michael Dita Salabert José Eduardo Consuegra Díaz Carlos Jaime Geroy |
| author_facet | Liermis Michael Dita Salabert José Eduardo Consuegra Díaz Carlos Jaime Geroy |
| author_sort | Liermis Michael Dita Salabert |
| collection | DOAJ |
| description | Primary immune thrombocytopenia is an acquired autoimmune disease, with a very variable clinical course, which causes an accelerated destruction by antibodies and an impaired platelet production. A case of a 40 year-old female patient of rural origin with a history of mitral stenosis and atrial fibrillation, diagnosed two months prior to her admission to the Dr. Gustavo Aldereguía Lima University General Hospital in Cienfuegos, is presented. She attended the hospital with ecchymosis and petechiae on the lower and upper limbs. After confirming a severe thrombocytopenia (5x109/ l), she was admitted to the Hematology Department. Possible primary immune thrombocytopenia was found. During her stay in the hospital, her clinical condition was complicated by hemoperitoneum. The patient underwent surgery which confirmed the presence of four liters of blood in the abdominal cavity with few clots, bleeding and fissure in the left ovary and adherent clots. An early clamping of the splenic artery, evacuation of the hemoperitoneum, left adnexectomy, splenectomy and resection of accessory spleen were performed. The patient progressed satisfactorily. |
| format | Article |
| id | doaj-art-4a5fc91a99ef4df3882b3931fa29249b |
| institution | Kabale University |
| issn | 1727-897X |
| language | Spanish |
| publishDate | 2013-08-01 |
| publisher | Centro Provincial de Información de Ciencias Médicas. Cienfuegos |
| record_format | Article |
| series | Medisur |
| spelling | doaj-art-4a5fc91a99ef4df3882b3931fa29249b2025-01-30T21:28:46ZspaCentro Provincial de Información de Ciencias Médicas. CienfuegosMedisur1727-897X2013-08-011144644681013Emergency Splenectomy in a patient with primary immune thrombocytopenia and hemoperitoneumLiermis Michael Dita Salabert0José Eduardo Consuegra Díaz1Carlos Jaime Geroy2Hospital General Universitario Dr. Gustavo Aldereguía Lima. Cienfuegos.Hospital General Universitario Dr. Gustavo Aldereguía Lima. Cienfuegos.Hospital General Universitario Dr. Gustavo Aldereguía Lima. Cienfuegos.Primary immune thrombocytopenia is an acquired autoimmune disease, with a very variable clinical course, which causes an accelerated destruction by antibodies and an impaired platelet production. A case of a 40 year-old female patient of rural origin with a history of mitral stenosis and atrial fibrillation, diagnosed two months prior to her admission to the Dr. Gustavo Aldereguía Lima University General Hospital in Cienfuegos, is presented. She attended the hospital with ecchymosis and petechiae on the lower and upper limbs. After confirming a severe thrombocytopenia (5x109/ l), she was admitted to the Hematology Department. Possible primary immune thrombocytopenia was found. During her stay in the hospital, her clinical condition was complicated by hemoperitoneum. The patient underwent surgery which confirmed the presence of four liters of blood in the abdominal cavity with few clots, bleeding and fissure in the left ovary and adherent clots. An early clamping of the splenic artery, evacuation of the hemoperitoneum, left adnexectomy, splenectomy and resection of accessory spleen were performed. The patient progressed satisfactorily.http://medisur.sld.cu/index.php/medisur/article/view/2279esplenectomíatrombocitopeniahemoperitoneo |
| spellingShingle | Liermis Michael Dita Salabert José Eduardo Consuegra Díaz Carlos Jaime Geroy Emergency Splenectomy in a patient with primary immune thrombocytopenia and hemoperitoneum Medisur esplenectomía trombocitopenia hemoperitoneo |
| title | Emergency Splenectomy in a patient with primary immune thrombocytopenia and hemoperitoneum |
| title_full | Emergency Splenectomy in a patient with primary immune thrombocytopenia and hemoperitoneum |
| title_fullStr | Emergency Splenectomy in a patient with primary immune thrombocytopenia and hemoperitoneum |
| title_full_unstemmed | Emergency Splenectomy in a patient with primary immune thrombocytopenia and hemoperitoneum |
| title_short | Emergency Splenectomy in a patient with primary immune thrombocytopenia and hemoperitoneum |
| title_sort | emergency splenectomy in a patient with primary immune thrombocytopenia and hemoperitoneum |
| topic | esplenectomía trombocitopenia hemoperitoneo |
| url | http://medisur.sld.cu/index.php/medisur/article/view/2279 |
| work_keys_str_mv | AT liermismichaelditasalabert emergencysplenectomyinapatientwithprimaryimmunethrombocytopeniaandhemoperitoneum AT joseeduardoconsuegradiaz emergencysplenectomyinapatientwithprimaryimmunethrombocytopeniaandhemoperitoneum AT carlosjaimegeroy emergencysplenectomyinapatientwithprimaryimmunethrombocytopeniaandhemoperitoneum |