Splenectomy Combined with Cesarean Section in a Patient with Severe Immunological Thrombocytopenic Purpura Refractory to Medical Therapy

Splenectomy as a treatment for severe immunological thrombocytopenic purpura is rarely performed in the third trimester of pregnancy. We report a 28‐year‐old patient who presented at the 34th gestational week with severe immunological thrombocytopenic purpura resistant to both corticosteroid and int...

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Bibliographic Details
Published in:The journal of obstetrics and gynaecology research 2001-04, Vol.27 (2), p.85-88
Main Authors: Sendag, Fatih, Kazandi, Mert, Terek, Mustafa Cosan
Format: Article
Language:English
Subjects:
Adrenal Cortex Hormones - therapeutic use
Adult
Cesarean Section
Drug Resistance
Female
Gestational Age
Humans
Immunoglobulins, Intravenous - therapeutic use
immunological thrombocytopenic purpura
Platelet Transfusion
Pregnancy
Pregnancy Complications, Hematologic - surgery
Pregnancy Outcome
Purpura, Thrombocytopenic, Idiopathic - drug therapy
Purpura, Thrombocytopenic, Idiopathic - surgery
Remission Induction
Splenectomy
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Summary:Splenectomy as a treatment for severe immunological thrombocytopenic purpura is rarely performed in the third trimester of pregnancy. We report a 28‐year‐old patient who presented at the 34th gestational week with severe immunological thrombocytopenic purpura resistant to both corticosteroid and intravenous immunoglobulin therapies. Splenectomy combined with delivery by cesarean section provided remission of the disease.
ISSN:1341-8076
1447-0756
DOI:10.1111/j.1447-0756.2001.tb01226.x