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Li X, Chen M, Wang Y, Zhou X, Wang M, Zou L. Successful use of peritoneal dialysis after abdominal surgery in a patient with factor XI deficiency: A case report. Semin Dial 2023; 36:178-182. [PMID: 36597266 DOI: 10.1111/sdi.13136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2022] [Accepted: 12/19/2022] [Indexed: 01/05/2023]
Abstract
Factor XI (FXI) deficiency is a rare bleeding disorder of unpredictable severity that correlates poorly with FXI coagulation activity and that poses great challenges for perioperative hemostatic management and the dialysis methods potentially available to new end-stage renal disease (ESRD) patients. We describe an individual with both ESRD and severe FXI deficiency, who successfully underwent peritoneal dialysis (PD) after emergency abdominal surgery. In the traditional concept, recent abdominal surgery is a contraindication to PD, especially for patients with bleeding risk. However, this case report highlights that PD can still be an possible option for patients with FXI deficiency who have just undergone abdominal surgery; laparoscopic PD catheter placement offers a chance to establish PD access in patients traditionally viewed as noncandidates for this method. Careful perioperative management and fresh frozen plasma transfusion ensure successful surgery. This case should be of help to clinicians and patients considering PD in similar situations.
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Affiliation(s)
- Xueying Li
- School of Clinical Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, China.,Department of Nephrology, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Ming Chen
- Department of Nephrology, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Yong Wang
- The 2nd Department of Foot and Ankle, Sichuan Provincial Orthopedics Hospital, Chengdu, China
| | - Xuelei Zhou
- Department of Gastroenterology, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Min Wang
- Department of Surgery, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China
| | - Lihua Zou
- Department of Nephrology, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China
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Martinuzzo M, Seehaus CM, López MS, Barrera LH, Garrott LF, Maffassanti PQ, Privitera V, Chuliber F, Penchasky D, Viñuales ES, Arbelbide J. Acquired FXI deficiency in a systemic lupus erythematosus patient: Evolution and coagulation phenotypic changed to lupus anticoagulant during immunosuppressive therapy. Int J Lab Hematol 2022; 44:e269-e274. [PMID: 35883223 DOI: 10.1111/ijlh.13937] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2022] [Accepted: 07/04/2022] [Indexed: 11/27/2022]
Affiliation(s)
- Marta Martinuzzo
- Central Laboratory, Biochemistry, Instituto Universitario del Hospital Italiano de Buenos Aires, Buenos Aires, CABA, Argentina
| | | | - Marina Sol López
- Central Laboratory, Biochemistry, Instituto Universitario del Hospital Italiano de Buenos Aires, Buenos Aires, CABA, Argentina
| | - Luis Horacio Barrera
- Central Laboratory, Biochemistry, Instituto Universitario del Hospital Italiano de Buenos Aires, Buenos Aires, CABA, Argentina
| | | | - Paulina Quiñones Maffassanti
- Central Laboratory, Instituto Universitario del Hospital Italiano de Buenos Aires, Buenos Aires, CABA, Argentina
| | - Verónica Privitera
- Hematology, Hospital Italiano de Buenos Aires, Buenos Aires, CABA, Argentina
| | - Fernando Chuliber
- Hematology, Hospital Italiano de Buenos Aires, Buenos Aires, CABA, Argentina
| | - Diana Penchasky
- Hematology, Hospital Italiano de Buenos Aires, Buenos Aires, CABA, Argentina
| | - Estela S Viñuales
- Hematology, Hospital Italiano de Buenos Aires, Buenos Aires, CABA, Argentina
| | - Jorge Arbelbide
- Hematology, Hospital Italiano de Buenos Aires, Buenos Aires, CABA, Argentina
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