Korean J Crit Care Med.  2007 Jun;22(1):42-47.

Hemolytic Uremic Syndrome Occurred after Esophagectomy: A Case Report

Affiliations
  • 1School of Dentistry, Chonnam National University Medical School, Gwangju, Korea.
  • 2Department of Anesthesiology and Pain Medicine, Chonnam National University Medical School, Gwangju, Korea. shkwak@jnu.ac.kr

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.

Keyword

Acute renal failure; Esophagectomy; Hemolytic anemia; Thrombocytopenia

MeSH Terms

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
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