CASE REPORTS   

Minerva Urologica e Nefrologica 1998 December;50(4):247-51

Copyright © 1999 EDIZIONI MINERVA MEDICA

language: English

Major surgery (radical cystectomy with urethrectomy) in a patient with von Willebrand’s disease type I. Reliability and limits of hemocoagulative tests

Favro M. ¹, Terrone C. ¹, Neira D. ¹, Rocca Rossetti S. ¹, Schellino M. M. ², Livigni S. ², Tempia A. ²

¹ University of Torino, Department of Surgical and Medical Disciplines, Urological Clinic; ² University of Torino, Institute of Anesthesia and Rehabilitation

Patients ­with ­bleeding dis­or­ders fre­quently ­need med­ical or sur­gical ­care. The ­case is ­reported of a man ­with von ­Willebrand’s dis­ease ­type I under­going rad­ical cys­tec­tomy ­with ureth­rec­tomy for mul­ti­cen­tric ­bladder ­cancer ­with neo­plastic involve­ment of pros­tatic ure­thra, who devel­oped ­serious ­bleeding com­pli­ca­tions ­which can not be pre­dicted ­with con­ven­tional coag­u­la­tion in labor­a­tory. The use of the throm­boe­las­to­graph (TEG) in the crit­ical post­op­er­a­tive ­period was deci­sive. The ­tracing alter­a­tions ­allowed to ­assess the clot­ting dis­order, con­stantly coun­ter­bal­ancing the base­line def­icit and the ­blood ­loss.