Abstract:
INTRODUCTION: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. CASE PRESENTATION: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. CONCLUSION: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.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Hwang JH,Kim DW,Kim KS,Lee SYdoi
10.1097/MD.0000000000010951subject
Has Abstractpub_date
2018-06-01 00:00:00pages
e10951issue
22eissn
0025-7974issn
1536-5964pii
00005792-201806010-00068journal_volume
97pub_type
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