{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T05:18:58Z","timestamp":1788585538870,"version":"build-2803163510"},"reference-count":10,"publisher":"Japan Surgical Society","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Surg Case Rep"],"published-print":{"date-parts":[[2026]]},"DOI":"10.70352\/scrj.cr.26-0596","type":"journal-article","created":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T22:12:34Z","timestamp":1788473554000},"page":"n\/a","source":"Crossref","is-referenced-by-count":0,"title":["Emergency Cholecystectomy for Gangrenous Acute Cholecystitis with Profound Thrombocytopenia: Immune Thrombocytopenia Diagnosed Postoperatively"],"prefix":"10.70352","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4423-2359","authenticated-orcid":false,"given":"Teppei","family":"Tokumaru","sequence":"first","affiliation":[{"name":"Emergency and Critical Care Center, Kochi Health Sciences Center, Kochi, Kochi, Japan"},{"name":"Department of Gastroenterological Surgery, Kochi Health Sciences Center, Kochi, Kochi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Motoyasu","family":"Tabuchi","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery, Kochi Health Sciences Center, Kochi, Kochi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunao","family":"Uemura","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery, Kochi Health Sciences Center, Kochi, Kochi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuta","family":"Tamura","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery, Kochi Health Sciences Center, Kochi, Kochi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroki","family":"Iriyoshi","sequence":"additional","affiliation":[{"name":"Department of Hematology and Blood Transfusion, Kochi Health Sciences Center, Kochi, Kochi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshi","family":"Imai","sequence":"additional","affiliation":[{"name":"Department of Hematology and Blood Transfusion, Kochi Health Sciences Center, Kochi, Kochi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mototsune","family":"Kakizaki","sequence":"additional","affiliation":[{"name":"Department of Pathology, Kochi Health Sciences Center, Kochi, Kochi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sayaka","family":"Osawa","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Kochi Health Sciences Center, Kochi, Kochi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takehiro","family":"Okabayashi","sequence":"additional","affiliation":[{"name":"Department of Gastroenterological Surgery, Kochi Health Sciences Center, Kochi, Kochi, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"51119","reference":[{"key":"1","doi-asserted-by":"crossref","unstructured":"1) Okamoto K, Suzuki K, Takada T, et al. Tokyo Guidelines 2018: flowchart for the management of acute cholecystitis. J Hepatobiliary Pancreat Sci 2018; 25: 55\u201372.","DOI":"10.1002\/jhbp.516"},{"key":"2","doi-asserted-by":"crossref","unstructured":"2) Mori Y, Itoi T, Baron TH, et al. Tokyo Guidelines 2018: management strategies for gallbladder drainage in patients with acute cholecystitis (with videos). J Hepatobiliary Pancreat Sci 2018; 25: 87\u201395.","DOI":"10.1002\/jhbp.504"},{"key":"3","doi-asserted-by":"crossref","unstructured":"3) Metcalf RA, Nahirniak S, Guyatt G, et al. Platelet transfusion: 2025 AABB and ICTMG International Clinical Practice Guidelines. JAMA 2025; 334: 606\u201317.","DOI":"10.1001\/jama.2025.7529"},{"key":"4","doi-asserted-by":"crossref","unstructured":"4) Satoh K, Wada T, Tampo A, et al. Practical approach to thrombocytopenia in patients with sepsis: a narrative review. Thromb J 2024; 22: 67.","DOI":"10.1186\/s12959-024-00637-0"},{"key":"5","doi-asserted-by":"crossref","unstructured":"5) P\u00e9ju E, Fouqu\u00e9 G, Charpentier J, et al. Clinical significance of thrombocytopenia in patients with septic shock: an observational retrospective study. J Crit Care 2023; 76: 154293.","DOI":"10.1016\/j.jcrc.2023.154293"},{"key":"6","doi-asserted-by":"crossref","unstructured":"6) Cohn CS. Platelet transfusion refractoriness: how do I diagnose and manage? Hematology (Am Soc Hematol Educ Program) 2020; 2020: 527\u201332.","DOI":"10.1182\/hematology.2020000137"},{"key":"7","doi-asserted-by":"crossref","unstructured":"7) Gando S, Saitoh D, Ogura H, et al. A multicenter, prospective validation study of the Japanese Association for Acute Medicine disseminated intravascular coagulation scoring system in patients with severe sepsis. Crit Care 2013; 17: R111.","DOI":"10.1186\/cc12783"},{"key":"8","doi-asserted-by":"crossref","unstructured":"8) Yokoe M, Hata J, Takada T, et al. Tokyo Guidelines 2018: diagnostic criteria and severity grading of acute cholecystitis (with videos). J Hepatobiliary Pancreat Sci 2018; 25: 41\u201354.","DOI":"10.1002\/jhbp.515"},{"key":"9","doi-asserted-by":"crossref","unstructured":"9) Neunert C, Terrell DR, Arnold DM, et al. American Society of Hematology 2019 guidelines for immune thrombocytopenia. Blood Adv 2019; 3: 3829\u201366.","DOI":"10.1182\/bloodadvances.2019000966"},{"key":"10","doi-asserted-by":"crossref","unstructured":"10) Giustozzi M, Ehrlinder H, Bongiovanni D, et al. Coagulopathy and sepsis: pathophysiology, clinical manifestations and treatment. Blood Rev 2021; 50: 100864.","DOI":"10.1016\/j.blre.2021.100864"}],"container-title":["Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.jstage.jst.go.jp\/article\/scrj\/12\/1\/12_cr.26-0596\/_pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T05:11:00Z","timestamp":1788585060000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.jstage.jst.go.jp\/article\/scrj\/12\/1\/12_cr.26-0596\/_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.70352\/scrj.cr.26-0596","relation":{},"ISSN":["2198-7793"],"issn-type":[{"value":"2198-7793","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"article-number":"cr.26-0596"}}