A Case of Elective Surgery for Acute Appendicitis that Occurred in the Bone Marrow Inhabitation Stage of Acute Myelogenous Leukemia

A 36-year-old woman was diagnosed as having acute myelogenous leukemia and started anti-leukemic treatment. The patient complained of right lower quadrant pain and a high fever on the 14th day after initiation of the regimen. Abdominal computed tomography (CT) revealed a swollen appendix and the pat...

Full description

Saved in:
Bibliographic Details
Published inNihon Fukubu Kyukyu Igakkai Zasshi (Journal of Abdominal Emergency Medicine) Vol. 38; no. 4; pp. 707 - 710
Main Authors Kawano, Yuichiro, Noguchi, Takuya
Format Journal Article
LanguageJapanese
Published Japanese Society for Abdominal Emergency Medicine 31.05.2018
Online AccessGet full text

Cover

More Information
Summary:A 36-year-old woman was diagnosed as having acute myelogenous leukemia and started anti-leukemic treatment. The patient complained of right lower quadrant pain and a high fever on the 14th day after initiation of the regimen. Abdominal computed tomography (CT) revealed a swollen appendix and the patient was diagnosed as having acute appendicitis, however the laboratory data showed pancytopenia. Therefore, we preferred conservative therapy to surgery. Starting on the 14th days after conservative therapy, the pancytopenia improved, so we performed a laparoscopic appendectomy. The patient was discharged on the 7th day after the surgery without complication. We report our experience with a review of the pertinent literature.
ISSN:1340-2242
1882-4781
DOI:10.11231/jaem.38.707