Hemolytic Uremic Syndrome Occurred after Esophagectomy: A Case Report.
- Author:
Su Hyeon PARK
1
;
Sung Tae JEONG
;
Seok Jai KIM
;
Hong Beom BAE
;
Sung Su CHUNG
;
Sang Hyun KWAK
Author Information
1. School of Dentistry, Chonnam National University Medical School, Gwangju, Korea.
- Publication Type:Case Report
- Keywords:
Acute renal failure;
Esophagectomy;
Hemolytic anemia;
Thrombocytopenia
- MeSH:
Acute Kidney Injury;
Adult;
Anemia, Hemolytic;
Child;
Early Diagnosis;
Esophageal Neoplasms;
Esophagectomy*;
Hemolytic-Uremic Syndrome*;
Hemorrhage;
Humans;
Middle Aged;
Plasma;
Plasmapheresis;
Renal Replacement Therapy;
Thrombocytopenia
- From:The Korean Journal of Critical Care Medicine
2007;22(1):42-47
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Hemolytic uremic syndrome is an unusual and uncommon disease in adults but more common in children, which is defined by the triad of acute renal failure, thrombocytopenia, and microangiopathic hemolytic anemia. We report a 64-year-old man who developed hemolytic uremic syndrome after esophagectomy and esophagogastrostomy due to esophageal cancer. We treated him using continuous renal replacement therapy and plasmapheresis with large volume fresh frozen plasma transfusion for 9 days. We could not find the cause of hemolytic uremic syndrome, and so finally concluded that it is idiopathic. Bleeding continuously without a particular reason after an operation, it needs an early diagnosis and treatment with considering a possibility of the hemolytic uremic syndrome.
