title: Antiphospholipid syndrome: a series of surgical emergencies and the current evidence for its management.
abstract: It is generally accepted that antiphospholipid syndrome remains a major medical problem characterised by hypercoagulability, arterial and venous thrombosis and thrombocytopenia. It is unclear how best to treat these patients should they require emergency surgery. If a lupus anticoagulant is present, hypercoagulability may occur de novo but surgical interventions along with sepsis are two important predisposing factors. We describe three patients with primary antiphospholipid syndrome and discuss the implications for surgery.
authors.affiliation: Department of Surgery, Glan Clwyd Hospital, Rhyl, UK. eagaba@gmail.com
authors.forename: A E
authors.initials: AE
authors.lastname: Agaba
authors.forename: N
authors.initials: N
authors.lastname: Charaklias
authors.forename: A
authors.initials: A
authors.lastname: Babu-Victor
authors.forename: P O
authors.initials: PO
authors.lastname: Agaba
authors.forename: V
authors.initials: V
authors.lastname: Deepchand
authors.forename: H S
authors.initials: HS
authors.lastname: Dabasia
authors.forename: S S
authors.initials: SS
authors.lastname: Sharma
authors.forename: M J
authors.initials: MJ
authors.lastname: Goodrick
authors.forename: B
authors.initials: B
authors.lastname: Ramanand
mesh_terms: D000368:Aged; D016736:Antiphospholipid Syndrome / Q000150:complications* / Q000175:diagnosis; D017081:Cholecystectomy, Laparoscopic / Q000379:methods; D041761:Cholecystolithiasis / Q000601:surgery*; D004630:Emergencies; D004638:Emergency Treatment / Q000379:methods; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007430:Intraoperative Care; D008875:Middle Aged