Khanduri Archana, Gupta Rahul, Gupta Jyoti, Ammar Houssem
Gastrointestinal Surgery, Synergy Institute of Medical Sciences, Dehradun, IND.
Radiation Oncology, Swami Rama Himalayan University, Dehradun, IND.
Cureus. 2021 May 31;13(5):e15357. doi: 10.7759/cureus.15357. eCollection 2021 May.
Reactive thrombocytosis after splenectomy is common and often self-limiting. However, thrombocytosis can be multifactorial, especially extreme thrombocytosis (platelet count > 100 x 10/cubic mm). It can lead to thrombotic or hemorrhagic complications. Hence, in patients with rising platelet count after splenectomy, detailed evaluation may be required to rule out other causes of thrombocytosis, such as infection, iron deficiency, and myeloproliferative disorders. Timely treatment of patients with thrombocytosis can prevent the development of life-threatening complications. The index case highlights the importance of regular follow-up of the patients after splenectomy to detect thrombocytosis and suspect other causes if the spleen was diseased or the platelet count fails to resolve spontaneously.
脾切除术后反应性血小板增多症很常见，且通常为自限性。然而，血小板增多症可能是多因素导致的，尤其是极端血小板增多症（血小板计数>100×10⁹/立方毫米）。它可导致血栓形成或出血并发症。因此，对于脾切除术后血小板计数升高的患者，可能需要进行详细评估以排除血小板增多症的其他原因，如感染、缺铁和骨髓增殖性疾病。及时治疗血小板增多症患者可预防危及生命的并发症的发生。该病例强调了脾切除术后对患者进行定期随访的重要性，以便在脾脏患病或血小板计数未能自发恢复正常时检测到血小板增多症并怀疑其他原因。
