Successful replantation of 2 digits in a patient with thrombocytosis after splenectomy: A case report

Medicine
Jae Ha HwangSam Yong Lee

Abstract

Thrombosis is the most common complication of thrombocytosis, which can be particularly damaging to reattached digits. We present a guideline about digital replantation when thrombocytosis is expected. We report a case of an 18-year-old man who sustained a traumatic amputation of two fingers and splenic rupture in a traffic accident. He underwent digital replantation the day after splenectomy when life-threatening conditions had been managed. The platelet count increased to over 1,300,000/mm and post-splenectomy reactive thrombocytosis was diagnosed. Hydroxyurea and anagrelide were administered to control the platelet count after consultation with a hematologist. The reattached fingers survived without any complication. In patients with digital amputation, replantation can be attempted, even when thrombocytosis is expected, when requested by the patient. Furthermore, the platelet count should be actively controlled with medication to improve the survival rate of the reattached finger.

References

Mar 15, 2000·Injury·S WaikakulA Un-nanuntana
Jul 29, 2009·Blood·Shelley E Crary, George R Buchanan
May 30, 2014·Seminars in Plastic Surgery·Jin-Soo KimSi-Young Roh
Jan 23, 2015·American Journal of Hematology·Ayalew Tefferi, Tiziano Barbui

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Methods Mentioned

BETA
amputation

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