A Case of Idiopathic Thrombocytopenic Purpura with Ulcerative Colitis

Abstract

A 27-year-old man with idiopathic thrombocytopenic purpura (ITP) was admitted to our hospital with a history of lower right abdominal pain and hematochezia. The patient was diagnosed as having ulcerative colitis (UC) by colonoscopy. He was initiated on conservative treatment, however, his condition proved to be treatment-resistant. In order to enhance the curability of UC and ITP, we performed laparoscopic-assisted total colectomy, ileal-anal anastomosis (IAA) and splenectomy. After the surgery, the blood platelet count rapidly increased. The postoperative course was favorable. We also present a review of the reported cases of UC with ITP in Japan.