January 1989

Emergency Splenectomy in Adult Idiopathic Thrombocytopenic PurpuraA Report of Seven Cases

Author Affiliations

From the Departments of Medicine (Drs Wanachiwanawin, Piankijagum, Visudhiphan, and Na-Nakorn), Surgery (Drs Sindhvananda and Vathanophas), Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.

Arch Intern Med. 1989;149(1):217-219. doi:10.1001/archinte.1989.00390010179028

• Seven adult patients with idiopathic thrombocytopenic purpura underwent emergency splenectomy. Six were female and one was a male, aged 16 to 61 years. All of them had a life-threatening episode. Six patients had progressive intracranial bleeding and one had postsurgical intra-abdominal bleeding. All patients were saved by surgery, except one for whom operation was delayed. There was no postoperative bleeding or surgical complication. Immediate splenectomy should be the treatment of choice in any patient with idiopathic thrombocytopenic purpura complicated by life-threatening hemorrhage.

(Arch Intern Med 1989;149:217-219)