Abstract
A case of thrombotic thrombocytopenic purpura (TTP) is reported. The patient (32yrs) underwent cesarean section because of severe eclampsia, then developed TTP in the postpartum period. She was treated aggressively with plasma exchange, antiplatelet agents, anticoagulants and steroids. Her platelet count recovered after the second plasma exchange and her condition was well managed for about 10 days. However, TTP became worse on the 21st postoperative day due to infection. Despite further treatment, including plasma exchange, the patient died on the 29th postoperative day.Nine cases of TTP in pregnancy and the postpartum period from the past 10 years are also reviewed.
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