직장암 수술 후 성인에서 발생한 혈전성 혈소판 감소성 자반증

• Published in: Annals of surgical treatment and research Vol. 74; no. 6; pp. 452 - 455
• Main Authors: 김대동(Dae Dong Kim), 신의섭(Ui Sup Shin), 윤상남(Sang Nam Yoon), 유창식(Chang Sik Yu), 김진천(Jin Cheon Kim)
• Format: Journal Article
• Language: Korean
• Published: 대한외과학회 01.06.2008
• Subjects: 일반외과학; Postoperative; Thrombotic thrombocytopenic purpura; Microangiopathic hemolytic anemia; Plasmapheresis
• ISSN: 2288-6575; 2288-6796

Thrombotic thrombocytopenic purpura (TTP) in the acute postoperative setting is a syndrome that presents with various symptoms such as microangiopathic hemolytic anemia, thrombocytopenia, fever, renal failure, and change of the patient's mental status. Though most of the previous reports of postoperative TTP have been in conjunction with cardiac or vascular surgery, it has also been reported following orthopedic and abdominal surgeries. We present here a case of a 78 year-old female who was diagnosed with rectal cancer and who developed TTP the 2nd day following her cancer surgery. Because the presentation can be confused with other early postoperative complications, TTP should be considered in the differential diagnosis of the patient who develops unexplained anemia and thrombocytopenia following an abdominal surgery. Awareness of this syndrome is essential because starting plasmapheresis early can be life-saving. (J Korean Surg Soc 2008;74:452-455) KCI Citation Count: 0