Lower Extremity Microsurgery in a Patient With Combined Sickle Cell Disease and Hemophilia: A Case Report and Literature Review.
Abstract
The combination of hemophilia and sickle cell disease poses unique challenges in the perioperative management of patients requiring free tissue transfer (FTT). Extremity FTT requires mitigation of risk factors related to perioperative bleeding and microvascular thrombosis. This case report highlights the nuances of managing an open ankle fracture in a patient with both sickle cell trait and severe hemophilia A. The narrative and discussion highlights the importance of a multidisciplinary team with regard to executing a limb salvage plan in the setting of complex medical decision-making.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 시술 | microsurgery
|
미세수술 | dict | 1 | |
| 시술 | microvascular
|
미세수술 | dict | 1 | |
| 해부 | Cell
|
scispacy | 1 | ||
| 해부 | tissue
|
scispacy | 1 | ||
| 해부 | limb
|
scispacy | 1 | ||
| 질환 | hemophilia
|
C0019069
Hemophilia A
|
scispacy | 1 | |
| 질환 | sickle cell disease
|
C0002895
Anemia, Sickle Cell
|
scispacy | 1 | |
| 질환 | FTT
→ free tissue transfer
|
C4725032
Free Tissue Transfer
|
scispacy | 1 | |
| 질환 | bleeding
|
C0019080
Hemorrhage
|
scispacy | 1 | |
| 질환 | thrombosis
|
C0040053
Thrombosis
|
scispacy | 1 | |
| 질환 | fracture
|
C0016658
Fracture
|
scispacy | 1 | |
| 기타 | Patient
|
scispacy | 1 | ||
| 기타 | patients
|
scispacy | 1 |
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