Laparoscopic splenic artery ligation in a patient with immune thrombocytopenia with intracranial haemorrhage (two clips that stopped a timebomb)

Author: Yon Quan Chan ¹ ; Zhao Ming Lee ¹ ; Swee Looi Tan ²
Author Information

1. Department of General Medicine, Hospital Tengku Ampuan Rahimah, Klang
2. Haematology Unit, Department of General Medicine, Hospital Tengku Ampuan Rahimah, Klang
Publication Type:Case Reports
From: The Medical Journal of Malaysia 2020;75(4):433-435
CountryMalaysia
Language:English
Abstract: Intracranial haemorrhage (ICH) in a patient with relapse of idiopathic thrombocytopaenic purpura (ITP) can be lethal. The site of haemorrhage, compounded by low platelets in this disease, makes its management extremely challenging, especially when a neurosurgical procedure is warranted. We report a case report of an unconventional way of increasing platelet counts in ITP rapidly in an emergency setting.