Laparoscopic splenectomy for acute and major thrombocytopenia
Epublication WebSurg.com, Jan 2013;13(01). URL: http://websurg.com/doi/vd01en3878
A 50-year-old patient was admitted in an emergency 8 days ago for spontaneous hematomas, consciousness disorders and mucosal bleeding. Diagnosis of acute thrombocytopenia was established (1000 platelets/mm3). Medical treatment was started, including transfusion of platelets, gammaglobulins, corticosteroids) but the platelet count never went over 10,000 and after 2 days, it fell down again at 1000 platelets. It was decided to rapidly perform a splenectomy. The patient has a BMI of 30. The size of the spleen was estimated at 12cm. A laparoscopic approach was proposed.