Complications after polypectomy in a patient with immune thrombocytopenia: A case report
With the increasing rate of colonoscopy, the detection and endoscopic removal of colorectal polyps have become increasingly common. However, for certain special patients, particularly those with immune thrombocytopenia (ITP) who lack a detailed medical history and have not been definitively diagnosed, performing endoscopic polypectomy during colonoscopy can lead to severe post-operative bleeding. This article presents a case where a patient, who denied having any special medical history and had no history of anticoagulant or non-steroidal drug use, experienced uncontrollable bleeding after polypectomy. Understanding such incidents is crucial for implementing preventive measures to reduce future occurrences. In this case, emphasis was placed on enhancing the regional integration of electronic medical record systems and the sharing of diagnostic data, as well as adopting a stratified risk management strategy for polypectomy in patients with ITP and conducting standardized pre-colonoscopy examinations for patients at potential risk of polyps. These measures aim to reduce operational risks and improve the quality of medical safety.
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