A Novel Use of Tisseel in the Setting of Uncontrolled Bleeding in a Thrombocytopenic Patient With Idiopathic Thrombocytopenia

We present a case of an 87-year-old female who was evaluated for an 8.5 cm left sided renal mass concerning for malignancy. The patient was transiently thrombocytopenic over the previous 4 months with platelet counts ranging from 50,000 to 125,000 plt/mcL and experienced diffuse hemorrhage during ra...

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Detalles Bibliográficos
Autores principales: Fisher, John S., Gonzalez, Ricardo, Spiess, Philippe E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2015
Materias:
General Urology
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4719898/
https://www.ncbi.nlm.nih.gov/pubmed/26793579
http://dx.doi.org/10.1016/j.eucr.2015.09.005
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author Fisher, John S.
Gonzalez, Ricardo
Spiess, Philippe E.
author_facet Fisher, John S.
Gonzalez, Ricardo
Spiess, Philippe E.
author_sort Fisher, John S.
collection PubMed
description We present a case of an 87-year-old female who was evaluated for an 8.5 cm left sided renal mass concerning for malignancy. The patient was transiently thrombocytopenic over the previous 4 months with platelet counts ranging from 50,000 to 125,000 plt/mcL and experienced diffuse hemorrhage during radical nephrectomy with failure to achieve mechanical hemostasis or fulguration. Following Surgicel (Ethicon; Somerville, New Jersey) application, we applied Tisseel (Baxter; Deerfield, IL) to the nephrectomy bed with complete hemostasis of bleeding foci. Tisseel saved this thrombocytopenic patient with uncontrolled bleeding and should have this clinical utility recognized.
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spelling pubmed-47198982016-01-20 A Novel Use of Tisseel in the Setting of Uncontrolled Bleeding in a Thrombocytopenic Patient With Idiopathic Thrombocytopenia Fisher, John S. Gonzalez, Ricardo Spiess, Philippe E. Urol Case Rep General Urology We present a case of an 87-year-old female who was evaluated for an 8.5 cm left sided renal mass concerning for malignancy. The patient was transiently thrombocytopenic over the previous 4 months with platelet counts ranging from 50,000 to 125,000 plt/mcL and experienced diffuse hemorrhage during radical nephrectomy with failure to achieve mechanical hemostasis or fulguration. Following Surgicel (Ethicon; Somerville, New Jersey) application, we applied Tisseel (Baxter; Deerfield, IL) to the nephrectomy bed with complete hemostasis of bleeding foci. Tisseel saved this thrombocytopenic patient with uncontrolled bleeding and should have this clinical utility recognized. Elsevier 2015-10-31 /pmc/articles/PMC4719898/ /pubmed/26793579 http://dx.doi.org/10.1016/j.eucr.2015.09.005 Text en http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle General Urology
Fisher, John S.
Gonzalez, Ricardo
Spiess, Philippe E.
A Novel Use of Tisseel in the Setting of Uncontrolled Bleeding in a Thrombocytopenic Patient With Idiopathic Thrombocytopenia
title A Novel Use of Tisseel in the Setting of Uncontrolled Bleeding in a Thrombocytopenic Patient With Idiopathic Thrombocytopenia
title_full A Novel Use of Tisseel in the Setting of Uncontrolled Bleeding in a Thrombocytopenic Patient With Idiopathic Thrombocytopenia
title_fullStr A Novel Use of Tisseel in the Setting of Uncontrolled Bleeding in a Thrombocytopenic Patient With Idiopathic Thrombocytopenia
title_full_unstemmed A Novel Use of Tisseel in the Setting of Uncontrolled Bleeding in a Thrombocytopenic Patient With Idiopathic Thrombocytopenia
title_short A Novel Use of Tisseel in the Setting of Uncontrolled Bleeding in a Thrombocytopenic Patient With Idiopathic Thrombocytopenia
title_sort novel use of tisseel in the setting of uncontrolled bleeding in a thrombocytopenic patient with idiopathic thrombocytopenia
topic General Urology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4719898/
https://www.ncbi.nlm.nih.gov/pubmed/26793579
http://dx.doi.org/10.1016/j.eucr.2015.09.005
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