A case report of postsplenectomy reactive thrombocytosis leading to an acute myocardial infarction in a previously healthy adult without hematologic comorbidities

SI-RT can cause severe thromboembolic complications despite the lack of conclusive evidence linking it to such events, and prophylactic anticoagulants are not routinely recommended. These considerations highlight the need for vigilant inpatient monitoring and thorough patient education at discharge to promptly address potential complications, as well as the importance of establishing guidelines for antiplatelet therapy in SI-RT patients without contraindications to minimize risks.