Science and Education Publishing American Journal of Medical Case Reports 2374-216X 3 9 2015 08 28 Myocardial Infarction in a Splenectomized Patient with Immune Trombocytopenia 301 303 EN Ilknur NIZAM Department of Internal Medicine, Faculty of Medicine, Inonu University, Malatya, TURKEY Mehmet Ali Erkurt Ilhami Berber Emin Kaya Irfan Kuku Mustafa Koroglu AJMCR20153910 10.12691/ajmcr-3-9-10 2015 07 28 2015 08 27 2015 08 28 Immune trombocytopenia is an autoimmune disease characterised by abnormal platelet destruction. Corticosteroids and intravenous immune globulin are main first line treatment options. Splenectomy is a preferred second line treatment option for unresponsive patients at many centers. Secondary thrombocytosis is a possible complication awaiting this group of patients after splenectomy. Here, we present a case of myocardial infarction at a patient who had undergone splenectomy for ITP, which is a rare event seen with secondary thrombocytosis due to splenectomy.