DOI: 10.36347/sajp

Pages: 405-407

The hypersplénismes correspond to a syndrome characterized by the presence of splenomegaly and pancytopenia predominantly platelet lineage. It is associated with disorders of hemostasis. We conducted a prospective study on a year May 2014 to April 2015. It was conducted at the department of anesthesia resuscitation CHU Le Dantec. We included all patients undergoing hypersplenism. During the study period 4 patients were operated. There are two men and two women aged 35 and 67 years respectively, 34 and 20 years. We found lymphoma in a case and cirrhosis in the other three cases. Severe thrombocytopenia associated with hemostasis disorders was found in all cases. A transfusion of platelet concentrates, packed red blood cells and fresh frozen plasma was made to prepare for the intervention. All underwent general anesthesia. Hemorrhagic shock was noted in all patients. The postoperative complications were simple without postoperative noted. Hypersplenism associated with hemostasis disorders poses anesthetic management problems. All patients had significant hemostatic disorders associated with severe thrombocytopenia despite the correction preoperatively. Anesthesia of these patients imposes support measures hemorrhagic shock