A case of heparin-induced thrombocytopenia occurring during treatment of superior mesenteric venous thrombosis

Abstract

A 44-year-old man complained of abdominal pain and was initially diagnosed as having an acute abdomen. Finally, SMVT was diagnosed, and a small intestinal resection was done during emergency surgery. After the operation, heparin was given as anticoagulant therapy. Suddenly on the 11th day, the patient's platelet count decreased. HIT was diagnosed since there were no symptoms of DIC. Heparin was discontinued at once, and argatroban was administered. The anti-PF4/heparin complex antibody was detected. Warfarin anticoagulant therapy was initiated after the platelet count recovered. The patient was discharged from hospital on the 30th day.