Title : Splenectomy in a patient with idiopathic thrombocytopenic purpura and critical thrombocytopenia of 1,000/mm³: A case report

Abstract:

Chronic idiopathic thrombocytopenic purpura (ITP) is an autoimmune disorder characterized by lowplatelet counts due to increased destruction and impaired production. A 24-year-old male fromKashmir presented with bleeding gums, nosebleeds, petechiae, and oral ulcers. Initial evaluationrevealed critical thrombocytopenia (platelets: 45,000/mm³) and positive antinuclear antibodies,consistent with ITP. Despite treatment with steroids, rituximab, and IVIg, his platelet count droppedto 1,000/mm³, necessitating laparoscopic splenectomy. A multidisciplinary approach ensuredpreoperative stability. The surgery, marked by controlled blood loss (350–250 mL), improvedplatelet counts postoperatively (75,000/mm³). This case underscores the challenges ofsplenectomy in severe ITP and the importance of comprehensive care.

Biography:

Naser Khan Ghafoor Jamal is a 5th year medical student at Tbilisi State Medical University, with a growing interest in internal medicine, particularly in the fields of hematology and immunology. He is actively involved in clinical research and has recently published a case report on splenectomy for idiopathic thrombocytopenic purpura. Furthermore, he has successfully completed the USMLE Step 2 CK with a score of 244 and aims to further his academic and clinical career through continued research, education, and patient care. He is passionate about advancing evidence-based medicine and contributing to improving healthcare outcomes.