[Emergency splenectomy in pregnancy complicated with idiopathic thrombocytopenia].
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.
Larciprete
G
G
Divisione di Ostetricia e Ginecologia, Ospedale Civile S. Giuseppe Marino, ASL RM H, Roma. glarciprete@libero.it
D000328:Adult; D004630:Emergencies; D005260:Female; D006801:Humans; D011247:Pregnancy; D011250:Pregnancy Complications, Hematologic / Q000601:surgery*; D013156:Splenectomy; D013921:Thrombocytopenia / Q000601:surgery*