Oral surgery in a patient with cirrhosis and thrombocytopenia: A case report
Document Type
Article
Publication Title
Special Care in Dentistry
Abstract
Purpose: While most oral surgical procedures can be safely performed in an outpatient setting, certain medical conditions may present a higher chance of postoperative complications. In particular, those predisposing the patient to bleeding abnormalities pose a potential risk when performing such treatments. The authors report a case involving full-mouth extractions in a patient with cirrhosis and thrombocytopenia after obtaining a platelet transfusion. Methods/Case: A 62-year-old Caucasian female presented to a university special care dental clinic requiring extractions. Her pertinent medical history was remarkable for cirrhosis and thrombocytopenia, with a platelet count of 32,000/uL. Upon medical consultation, the patient was appointed for a prophylactic platelet transfusion. The surgery was rendered uneventfully, and the patient achieved adequate hemostasis without hospitalization. Conclusion/Clinical: Relevance Patients with cirrhosis pose a potential bleeding risk with dental surgical procedures. Pre-operative medical consultation, review of pertinent laboratory values, and prophylactic platelet transfusion allow these patients to be managed safely in an outpatient setting.
First Page
93
Last Page
98
DOI
10.1111/scd.12150
Publication Date
3-1-2016
Recommended Citation
Patel, Seena; Perry, Maureen Munnelly; and Spolarich, Ann Eshenaur, "Oral surgery in a patient with cirrhosis and thrombocytopenia: A case report" (2016). ASDOH Faculty Publications. 434.
https://scholarworks.atsu.edu/asdoh-faculty/434