Reactive Thrombocytosis: A Bizarre Consequence of Splenectomy

TL;DR

This case report discusses a rare complication of splenectomy where a patient developed reactive thrombocytosis, leading to symptoms like weakness and tingling.

Contribution

The paper highlights a rare and under-recognized consequence of splenectomy in patients with Budd-Chiari syndrome.

Findings

The patient developed reactive thrombocytosis following splenectomy.

Symptoms like weakness and tingling were observed, possibly due to thrombotic events.

The case underscores the need for clinicians to monitor for thrombocytosis complications.

Abstract

Platelets are blood components produced in the bone marrow and are essential in forming blood clots. Thrombocytosis refers to a condition that causes the excess production of platelets in the body. When it develops as a reaction to an infection, trauma, or surgery, it is known as secondary or reactive thrombocytosis. Although thrombocytosis is typically a self-limiting disorder, it can frequently result in hemorrhagic or thrombotic events. Extreme thrombocytosis may trigger thrombotic events. Therefore, clinicians must be aware of the complications of thrombocytosis. In this case report, a 35-year-old female, known to have portal hypertension and Budd-Chiari syndrome, presented with complaints of weakness and tingling in her hands persisting for eight days. She disclosed that she had undergone an elective splenectomy as part of her management for portal hypertension and Budd-Chiari syndrome eight days prior.

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