Salvage Intrapartum Splenectomy for the Treatment of Transfusion-refractory Anaemia in a ß-thalassemia Intermedia Patient.
J Coll Physicians Surg Pak
; 32(10): 1344-1346, 2022 Oct.
Article
em En
| MEDLINE
| ID: mdl-36205284
ABSTRACT
Thalassemia intermedia (TI) patients may need a transfusion during physiological stress conditions, such as pregnancy. We present a case of a female TI patient with emerging transfusion-refractory anaemia during pregnancy, which resolved after splenectomy performed simultaneously with cesarean delivery. A 26-year pregnant woman at 29th gestational weeks was referred with a diagnosis of TI due to emerging anaemia which was refractory to transfusion. Splenectomy at term was decided to improve anaemia, and transfusion response. A preterm infant was delivered by cesarean section due to threatened preterm labour. Once the uterine incision was closed, an open splenectomy was performed. Postoperative follow-up was uneventful. To the best of our knowledge, the present case is the first open splenectomy performed during cesarean delivery as a salvage option for the management of transfusion-refractory anaemia. Key Words Thalassemia intermedia, Splenectomy, Pregnancy, Hemolytic anaemia.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Anemia Refratária
/
Talassemia beta
Tipo de estudo:
Diagnostic_studies
Limite:
Female
/
Humans
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Newborn
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Pregnancy
Idioma:
En
Ano de publicação:
2022
Tipo de documento:
Article