Case 285 -- An 83-year-old with post-operative bleeding

Contributed by Lirong Qu, MD, Ph.D, Kathy Puca, MD, Joseph Kiss, MD and Darrel Triulzi, MD
Published on line in October 2001


PATIENT HISTORY:

An 83-year-old female presented with post-operative bleeding and severe anemia that required multiple transfusions. Initial evaluation revealed an elevated PTT with no other hemostatic abnormalities. Her past medical history includes hypertension, glaucoma, esophagitis, diverticulitis without prior bleeding episode. A coagulation panel on admission is showed in Table 1.

FINAL DIAGNOSIS

DISCUSSION


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