ID | 31992 |
JaLCDOI | |
フルテキストURL | |
著者 |
Nakao, Atsunori
Okayama University
Iwagaki, Hiromi
Okayama University
Notohara, Kenji
Okayama University
Morimoto, Yushinori
Okayama University
Ariki, Norifumi
Okayama University
Kanagawa, Taiichiro
Okayama University
Isozaki, Hiroshi
Okayama University
Tanaka, Noriaki
Okayama University
|
抄録 | A 69-year-old woman was admitted to our hospital because of anal bleeding and fatigue. The patient was previously diagnosed as having Evans' syndrome on the basis of hematological examination and had been treated with predonisolone for 8 years. On admission, severe anemia and thrombocytopenia were noted. Colonoscopy and Barium enema studies demonstrated an irregular tumor with hemorrhagic ulceration in the rectum, which was histopathologically confirmed as an adenocarcinoma. After red blood cells and platelets were transfused, and the patient was treated with high-dose gammaglobulin, predonisolone, and camostat mesylate, the platelet count gradually increased and hemolysis was well controlled. The patient then underwent Hartmann's operation and splenectomy without any postoperative complications. Predonisolone and high-dose immunoglobulin therapy in a rectal cancer burdened patient with Evans' syndrome is considered useful in combination with surgical treatment. This is the first case report of rectal carcinoma resection in a patient with Evans' syndrome. |
キーワード | immune thrombocytopenia
autoimmune hemolytic anemia
surgical treatment
|
Amo Type | Article
|
出版物タイトル |
Acta Medica Okayama
|
発行日 | 2001-08
|
巻 | 55巻
|
号 | 4号
|
出版者 | Okayama University Medical School
|
開始ページ | 253
|
終了ページ | 257
|
ISSN | 0386-300X
|
NCID | AA00508441
|
資料タイプ |
学術雑誌論文
|
言語 |
英語
|
論文のバージョン | publisher
|
査読 |
有り
|
PubMed ID | |
Web of Science KeyUT |