Hematoma after augmentation mammaplasty in a patient with von Willebrand's disease Hematoma após mamaplastia de aumento em paciente portadora de doença de von Willebrand

We present the case of a patient submitted to augmentation mammaplasty who developed 2 hematoma episodes as a result of von Willebrand's disease, which was not previously diagnosed. As a routine part of preoperative evaluation, the patient should always be tested for von Willebrand's disea...

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Bibliographic Details
Main Authors: Marco Willians Baena Destro, Áurea Regina Rodrigues, João Lúcio Rodrigues de Castro, Cristina Destro, Luiz Gustavo Capochin Romagnolo
Format: Article
Language:English
Published: Thieme Revinter Publicações Ltda. 2011-09-01
Series:Revista Brasileira de Cirurgia Plástica
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Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1983-51752011000300029
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Summary:We present the case of a patient submitted to augmentation mammaplasty who developed 2 hematoma episodes as a result of von Willebrand's disease, which was not previously diagnosed. As a routine part of preoperative evaluation, the patient should always be tested for von Willebrand's disease. This disease affects 1-3% of the population and occurs twice as often as hemophilia. In our case, the patient recovered quite satisfactorily. Preventive and therapeutic approaches are discussed in this paper.<br>Os autores relatam o caso de uma paciente submetida a mamaplastia de aumento, não diagnosticada previamente como portadora de doença de von Willebrand, que teve dois episódios de hematoma no pós-operatório. Entre os distúrbios de coagulação, a doença de von Willebrand deve ser considerada na avaliação pré-operatória, pois afeta cerca de 1% a 3% da população, não é diagnosticada na maioria das pessoas, além de ser duas vezes mais frequente que a hemofilia. A paciente evoluiu bem no pós-operatório e medidas preventivas e terapêuticas são discutidas neste artigo.
ISSN:1983-5175
2177-1235