Zhang HH, Gu GL, Zhang XY, Fan Q, Wang XY, Wei XM. Non-surgical contraindication for acute appendicitis with secondary thrombocytopenia: A case report. World J Gastroenterol 2015; 21(9): 2836-2839 [PMID: 25759558 DOI: 10.3748/wjg.v21.i9.2836]
Corresponding Author of This Article
Xue-Ming Wei, Professor, Department of General Surgery, Air Force General Hospital of PLA, No. 30 Fucheng Road, Haidian District, Beijing 100142, China. hhzhangbj301@126.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Hai-Hong Zhang, Guo-Li Gu, Xue-Ming Wei, Department of General Surgery, Air Force General Hospital of PLA, Beijing 100142, China
Xiang-Yang Zhang, Qin Fan, Xin-Yan Wang, Department of Intelligence, Air Force General Hospital of PLA, Beijing 100142, China
Author contributions: Zhang HH, Gu GL and Wei XM designed the research; Zhang HH and Fan Q performed the research; Zhang XY and Wang XY provided the analytic tools; Fan Q analyzed the data; and Zhang HH wrote the manuscript.
Supported by National Key Technology Research and Development Program of the Ministry of Science and Technology, No. 2012BA141 B01; and the Air Force General Hospital Annovation Fund, No. KZ2013035.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Xue-Ming Wei, Professor, Department of General Surgery, Air Force General Hospital of PLA, No. 30 Fucheng Road, Haidian District, Beijing 100142, China. hhzhangbj301@126.com
Telephone: +86-10-66928302 Fax: +86-10-66928302
Received: August 24, 2014 Peer-review started: August 24, 2014 First decision: September 17, 2014 Revised: December 8, 2014 Accepted: January 8, 2015 Article in press: January 8, 2015 Published online: March 7, 2015
Core Tip
Core tip: Should acute appendicitis with severe thrombocytopenia be operated? There are no reports about this clinical scenario. Acute appendicitis was diagnosed based on clinical findings, which included migrating right lower abdominal pain, a leukocyte count of 22.74 × 109/L and the result of abdominal computed tomography scan. However, we were not sure whether the severe thrombocytopenia was primary or secondary in nature. So smear of peripheral blood and aspiration of bone marrow were ordered to exclude the primary thrombocytopenia. Neither examination indicated any pathological changes in the hematological system. There was no hepatosplenomegaly found by ultrasound examination of the liver and spleen. Therefore, there were no contradictions for acute appendicitis patients with thrombocytopenia.
