Abstract
A patient is shown that has presented with a large abdominal neuroblastoma having had a laparotomy for tumor removal, followed by signs of low blood pressure, paleness, tachycardia, sweating and with wound oozing, after a few hours silent period, raising immediately the possibility of the need for an emergency re-laparotomy. This patient calls attention for the need to study pre-operatively the preoperative level of phospholipid antibodies as a possible cause for an autoimmune reaction to be delt with only medically and avoiding dangerous and unjustified surgery.
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