Total abdominal hysterectomy in a patient with immune thrombocytopenic Purpura: A case report

Willbroad Kyejo, Gregory Ntiyakunze, Brenda Moshi, Neema Lubuva, Munawar Kaguta, Shweta Jaiswal

Research output: Contribution to journalArticlepeer-review


Introduction: Immune Thrombocytopenic Purpura poses unique challenges in surgical settings due to an increased risk of bleeding. This report details the perioperative management of a patient with Immune Thrombocytopenic Purpura undergoing Total Abdominal Hysterectomy, emphasizing the importance of tailored approaches for such cases. Case presentation: A 41-year-old female with Immune Thrombocytopenic Purpura and symptomatic uterine fibroids, despite medical management, opted for Total Abdominal Hysterectomy. Prednisolone therapy and platelet transfusion were used preoperatively to optimize platelet counts. Discussion: Effective management was achieved through meticulous surgery, continued prednisolone therapy, and vigilant postoperative monitoring. This case highlights the value of a multidisciplinary approach in ensuring positive surgical outcomes for Immune Thrombocytopenic Purpura patients. Conclusion and recommendation: This case underscores the significance of individualized perioperative care for Immune Thrombocytopenic Purpura patients undergoing major surgery. By optimizing medical therapy and maintaining close monitoring, favorable results can be achieved, enhancing the quality of life for such patients. It is recommended that such comprehensive approaches are considered in similar cases.

Original languageEnglish
Article number109102
JournalInternational Journal of Surgery Case Reports
Publication statusPublished - Jan 2024
Externally publishedYes


  • Immune thrombocytopenic purpura
  • Preoperative preparation
  • TAH


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