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MINERVA GINECOLOGICA

A Journal on Obstetrics and Gynecology


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Minerva Ginecologica 2000 December;52(12):527-32

language: Italian

Successful emergency splenectomy during pregnancy in a patient with life-threatening idiopathic thrombocytopenia

Larciprete G.


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Thrombocytopenia can be a pathophysiological feature of pregnancy and spontaneous splenic rupture in pregnancy is a rare and potentially catastrophic event. A case of splenic rupture after cesarean delivery, performed for increasing thrombocytopenia is reported. The diagnosis was not suspected until laparotomy. Low transverse cesarean birth required a vertical extension of the incision into the upper uterine segment. An emergency splenectomy was undertaken without complications. The operation was followed by a massive increase in the thrombocyte count. Both mother and baby are in good health 10 months later. The newborn had a normal thrombocyte count at delivery and thereafter. The importance of early diagnosis and management techniques are discussed.

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