POLYCYTHEMIA vera is characterized by both spontaneous thrombosis and hemorrhage. In general, the thrombotic tendency has been stressed, and relatively little emphasis has been placed on the hemorrhagic aspect. Burris and Arrowsmith1 have recently published their experience with surgery on 68 patients with polycythemia vera. This is the only report in the recent surgical literature which has discussed this problem. They found the thrombotic tendency to be the most common postoperative complication and did not list any instance of hemorrhage. The purpose of this paper is to present a case of polycythemia vera in which the postoperative course was complicated by hemorrhage and to suggest a more comprehensive preoperative evaluation which would help prevent both hemorrhagic and thrombotic complications.
REPORT OF A CASE
The patient, C. N., a 61-year-old man, had had polycythemia vera for 10 years controlled by phlebotomy and P32. During the past few years he