Publication

[Treatment of a pregnant patient after multiple trauma: rare combination with thrombotic thrombocytopenic purpura]

Journal Paper/Review - Feb 13, 2013

Units
PubMed
Doi

Citation
Haffner E, Pietsch U, Fösel T, Lindemann W. [Treatment of a pregnant patient after multiple trauma: rare combination with thrombotic thrombocytopenic purpura]. Anaesthesist 2013; 62:125-9.
Type
Journal Paper/Review (Deutsch)
Journal
Anaesthesist 2013; 62
Publication Date
Feb 13, 2013
Issn Electronic
1432-055X
Pages
125-9
Brief description/objective

Multiple trauma during pregnancy is a relatively rare situation which poses a great challenge for the team in charge of treatment. A concomitant disease, such as thrombotic thrombocytopenic purpura (TTP) with thrombocytic coagulopathy increases the complexity of the treatment problems. This article describes the case of a 36-year-old pregnant woman referred to this hospital suffering from multiple trauma with severe liver rupture. Stabilization was achieved after an emergency Caesarean section and packing of the liver. Recurrent massive bleeding from the liver occurred after depacking and was treated successfully with recombinant factor VIIa. The concomitant TTP was treated by transfusion of fresh frozen plasma and corticosteroids. Rapid initiation of therapy was the goal to achieve hemostasis and prevent aggravation of the coagulation disorder and an unfavourable outcome despite severe thrombocytopenia.