Abstract
The patient who is the subject of this report was referred to me by Dr. M. S. Joelson when she was in her sixth month of gestation. Her chief complaints were those of widespread ecchymoses, epistaxis, hemoptysis and hematuria. Various consultations were held, a diagnosis of thrombocytopenic purpura hemorrhagica was established, and splenectomy was performed by me in the eighth month of gestation. She was delivered normally of a normal baby by Dr. Joelson about two weeks prior to estimated term. I believe this is the first case to be reported of splenectomy in pregnancy complicated by thrombocytopenic purpura hemorrhagica. The seriousness of this complication of pregnancy is attested by the literature. Sixty-one cases have been reported singly or summarized in groups between 1867 and 1936. Mosher<sup>1</sup>in 1923 reported a case of his own and collected 39 other cases. He concluded that the complication of thrombocytopenic purpura hemorrhagica
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