Volume : IX, Issue : V, May - 2019

A case of Tropical splenomegaly with Hypersplenism and pancytopenia in Pregnancy

Dr Seema Dande

Abstract :

Splenomegaly may be a clinical sign of many systemic diseases like Liver diseases , haematologic disorders, malignancies, AIDS, endocarditis, CCF, Parasitosis. Patients may be asymptomatic or may present with abdominal pain, fever, chest pain, back pain,early satiety, anaemia. In pregnancy it can pose a risk to mother and baby. In this case the lady presented in the first trimester with threatened miscarriage .On routine tests she was diagnosed as severe Thrombocytopenia with anaemia and leucopenia . After finding out all the causes of thrombocytopenia and opinion of the Haematologist, she was diagnosed as a case of Tropical splenomegaly with hypersplenism. The platelets were getting manufactured normally but there was accelerated destruction in the spleen which resulted in severe Thrombocytopenia. She was managed in liasion with haematologist in the antenatal period and delivered by caesarean section at 38 weeks for severe oligohydramnios with eech and previous section under general anaesthesia. Steroid administration did not help to raise the platelet count. She was operated under cover of single donor platelet infusion which was started at the incision.All the measures like using a cauterisation method while cutting the layers of abdomen, use of uterotonics to prevent extra blood loss were followed.she and the baby did well in the intra and post partum period.

Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

A CASE OF TROPICAL SPLENOMEGALY WITH HYPERSPLENISM AND PANCYTOPENIA IN PREGNANCY, Dr Seema Dande INDIAN JOURNAL OF APPLIED RESEARCH : Volume-9 | Issue-5 | May-2019

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