You are here

Article Text

Article menu
Download PDFPDF
Case report
Post PCI severe gastrointestinal bleeding in the setting of idiopathic thrombocytopenic purpura: a treatment dilemma
  1. Hafiz Ghafoor1,
  2. Nitish Kumar Sharma1,
  3. Sai Vikram Alampoondi Venkataramanan2 and
  4. Michelle Hadley1
  1. 1Department of Cardiology, Saint Vincent Hospital, Worcester, Massachusetts, USA
  2. 2Department of Internal Medicine, Saint Vincent Hospital, Worcester, Massachusetts, USA
  1. Correspondence to Dr Hafiz Ghafoor; usama_ghafoor{at}yahoo.com

Abstract

Gastrointestinal (GI) bleeding is a serious complication encountered commonly in patients on chronic anticoagulation and/or antiplatelet agents. There is a lack of guidelines on how to manage antiplatelet/anticoagulant therapy in patients with thrombocytopenia and GI bleeding. This poses a clinical dilemma when a clinician encounters serious GI bleeding in clinical practice. We present a patient with paroxysmal atrial fibrillation and chronic thrombocytopenia who suffered severe GI bleeding less than 2 weeks after a percutaneous coronary intervention while being treated with dual antiplatelet therapy and oral anticoagulation.

  • cardiovascular system
  • gastrointestinal system
  • haematology (drugs and medicines)

https://doi.org/10.1136/bcr-2021-243706

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    View Full Text

    Footnotes

    • Contributors HG, NKS, SVAV and MH were involved in the case. HG, NKS and SVAV wrote the case report. MH performed major revisions and approved the final version of the case report.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.