An unusual presentation of idiopathic thrombocytopenic purpura in pregnancy.
A 35-year-old, 39-week pregnant woman underwent an uneventful emergent cesarean delivery for suspected placental abruption or uterine dehiscence. Given the urgency of the situation and the unremarkable airway anatomy, general anesthesia was the chosen technique. Four hours after her surgery, she returned to the operating room for persistent vaginal bleeding. Hematology tests performed before the cesarean delivery revealed severe thrombocytopenia. This was later diagnosed as idiopathic thrombocytopenia, which was treated successfully with steroid therapy.
Ranasinghe
J Sudharma
JS
Department of Anesthesiology, University of Miami School of Medicine, Miami, FL 33101, USA.
Tjin-A-Tsoi
Evert W
EW
Lewis
Michael C
MC
D000328:Adult; D002585:Cesarean Section; D005260:Female; D017359:HELLP Syndrome / Q000097:blood; D006470:Hemorrhage; D006801:Humans; D008755:Methylergonovine / Q000627:therapeutic use; D010120:Oxytocics / Q000627:therapeutic use; D010121:Oxytocin / Q000627:therapeutic use; D010976:Platelet Count; D006473:Postpartum Hemorrhage / Q000209:etiology / Q000628:therapy; D011247:Pregnancy; D011250:Pregnancy Complications, Hematologic / Q000188:drug therapy / Q000628:therapy*; D011696:Purpura, Thrombocytopenic / Q000188:drug therapy / Q000628:therapy*
D010120:Oxytocics; D010121:Oxytocin; D008755:Methylergonovine