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2022, Number 2

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Rev Mex Anest 2022; 45 (2)

Laparoscopic splenectomy in patient with Evans syndrome

Bendaña JE, Salinas-Vallecillo LC

Language: Spanish
References: 13
Page: 135-137
PDF size: 181.87 Kb.


ABSTRACT

Evans syndrome is a rare syndrome that occurs in approximately 3.6 per million inhabitants; being more common in women. Its characteristics are the presence of idiopathic autoimmune hemolytic anemia and idiopathic thrombocytopenic purpura. We present a case of a 42-year-old patient with no improvement in her platelet level, so it was programmed to perform a laparoscopic splenectomy. The patient before the surgical intervention presented a level of platelets considered limit, 53,000/μL, so it was decided to transfuse platelets before surgery. During the pre-anesthesia evaluation, multiple risk factors were recorded to be considered as a difficult airways. Thrombocytopenia was improved and perioperative steroids were maintained. It was decided to administer general endotracheal anesthesia, obtaining satisfactory anesthesia during the surgical procedure.


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