We report the case of a man suffering from a monoclonal gammapathy with an acquired von Willebrand disease in a perioperative context. This pathology is rare, but is important to diagnose because of the possible haemorrhagic complications encountered. We describe the main therapeutic options available today to prevent bleeding during major surgery.
Département d'anesthésie et de réanimation, hôpital d'Instruction-des-Armées-Percy, 101, avenue H.-Barbusse, 92141 Clamart, France. patrick.clapson@free.fr