Four Factor Prothrombin Complex Concentrate for Anticoagulation Reversal in an LVAS Patient Undergoing Robotic Prostatectomy: A Case Report

2018 ◽  
Vol 07 (04) ◽  
Author(s):  
Jessica Rimsans ◽  
Brooke M Fortin ◽  
Katelyn W Sylvester ◽  
Peter Collins ◽  
Mollie Semmer ◽  
...  
Keyword(s):  
Case Report ◽  
Prothrombin Complex Concentrate ◽  
Robotic Prostatectomy ◽  
Anticoagulation Reversal

scholarly journals Robotic prostatectomy leading to a delayed MRSA infected lymphocele: a case report and review of the literature

2017 ◽  
Vol 10 (1) ◽  
pp. 23-27
Author(s):  
Monica Kaminski ◽  
Rose Recco ◽  
Steven Siegel
Keyword(s):  
Case Report ◽  
Radical Prostatectomy ◽  
Methicillin Resistant Staphylococcus Aureus ◽  
Rare Complication ◽  
Fluid Collection ◽  
Unknown Origin ◽  
Robotic Prostatectomy ◽  
Post Procedure ◽  
The Usa ◽  
Localized Disease

Prostate cancer is the second leading cancer-related cause of death in the USA with the majority presenting as localized disease. In the last decade minimally invasive, robotic-assisted laparascopic, radical prostatectomy has become the most favored treatment choice. A complication that has been observed in 27% of patients is the formation of an asymptomatic lymphocele. It is a very rare complication for these to become infected, and when they do 80% have occurred 2–12 months post-procedure. In this case report the patient presented with fever and leukocytosis of unknown origin and was found to have a methicillin-resistant Staphylococcus aureus (MRSA) infected lymphocele over 2 years after a radical prostatectomy. The infected fluid collection was drained percutaneously and the patient was treated with a 4-week course of intravenous ceftaroline with complete resolution of symptoms.

Acquired FVIII and FIX Inhibitors after Pregnancy: A Case Report

2016 ◽  
Vol 136 (4) ◽  
pp. 229-232 ◽  
Author(s):  
Murat Kose ◽  
Oguz Kagan Bakkaloglu ◽  
Shirkhan Amikishiyev ◽  
Timur Selcuk Akpınar ◽  
Basak Saracoglu ◽  
...  
Keyword(s):  
Case Report ◽  
Prothrombin Complex Concentrate ◽  
Clinical Presentation ◽  
Coagulation Factors ◽  
Bleeding Disorder ◽  
Acquired Hemophilia ◽  
Fviii Inhibitor ◽  
Activated Prothrombin Complex Concentrate ◽  
Life Threatening

Acquired hemophilia is a relatively rare clinical presentation, and most cases present with acquired FVIII inhibitor. The co-occurrence of inhibitors to multiple coagulation factors is uncommon. These autoantibodies may induce spontaneous life-threatening bleeding in patients who have had no previous bleeding disorder. Herein, we present a patient with postpartum acquired FVIII and FIX inhibitors who developed intramuscular hematoma and hemothorax during follow-up. She was then treated with activated prothrombin complex concentrate and methylprednisolone.

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