Abstract

BENDANA, José Eduardo  and  SALINAS-VALLECILLO, Lea Crisel. Laparoscopic splenectomy in patient with Evans syndrome. Rev. mex. anestesiol. [online]. 2022, vol.45, n.2, pp.135-137.  Epub Aug 29, 2022. ISSN 0484-7903.  https://doi.org/10.35366/103889.

Evans syndrome is a rare syndrome that occurs in approximately 3.6 per million inhabitants; being more common in women. Its characteristics are the presence of idiopathic autoimmune hemolytic anemia and idiopathic thrombocytopenic purpura. We present a case of a 42-year-old patient with no improvement in her platelet level, so it was programmed to perform a laparoscopic splenectomy. The patient before the surgical intervention presented a level of platelets considered limit, 53,000/μL, so it was decided to transfuse platelets before surgery. During the pre-anesthesia evaluation, multiple risk factors were recorded to be considered as a difficult airways. Thrombocytopenia was improved and perioperative steroids were maintained. It was decided to administer general endotracheal anesthesia, obtaining satisfactory anesthesia during the surgical procedure.

Keywords : Evans syndrome; splenectomy; thrombocytopenia.