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Korean J Crit Care Med > Volume 22(1); 2007 > Article
Korean Journal of Critical Care Medicine 2007;22(1): 42-47.
식도절제술 후에 발생한 용혈성 요독 증후군 1예 -증례 보고-
박수현ㆍ정성태ㆍ김석재ㆍ배홍범ㆍ정성수*ㆍ곽상현
전남대학교 의과대학 및 *치의학전문대학원 마취통증의학교실
Hemolytic Uremic Syndrome Occurred after Esophagectomy: A Case Report
Su Hyeon Park, Sung Tae Jeong, Seok Jai Kim, Hong Beom Bae, Sung Su Chung, Sang Hyun Kwak
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.
Key Words: Acute renal failure; Esophagectomy; Hemolytic anemia; Thrombocytopenia
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