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

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

Medicine

authors

Hwang JH,Kim DW,Kim KS,Lee SY

doi

10.1097/MD.0000000000010951

subject

Has Abstract

pub_date

2018-06-01 00:00:00

pages

e10951

issue

22

eissn

0025-7974

issn

1536-5964

pii

00005792-201806010-00068

journal_volume

97

pub_type

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