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ID 37670
file
creator
Okita, Riki
Konishi, Kazuo
Osaki, Akihiko
Yoshida, Kazuhiro
Yamaguchi, Yoshiyuki
Toge, Tetsuya
Fujimura, Kingo
Iwata, Takashi
Sawamura, Akihiro
subject
Bernard-Soulier syndrome
Gastrointestinal bleeding
Angiodysplasia
Interventional embolization
Breast cancer
NDC
Medical sciences
abstract
We herein report a case of gastrointestinal bleeding induced by angiodysplasia of the cecum in a case of Bernard-Soulier syndrome with recurrent breast cancer. In spite of endoscopic hemostatic therapy and interventional embolization, she had repeated massive bleeding from the cecal lesion. In addition, she had chronic hepatitis C and progressive liver tumors metastasized from breast cancer, and she finally died of hepatic failure. There are four case reports in the literature describing Bernard-Soulier syndrome with gastrointestinal bleeding angiodysplasia. The reported cases benefited from hormonal, endoscopical hemostasis and surgical therapy. In our case, because of her terminal metastatic breast cancer, only conservative treatments were administered after the third bleed. Both the endoscopic hemostatic method and interventional embolization showed only a temporary effect. Surgical treatment should be considered if the general condition can tolerate a surgical procedure.
journal title
Hiroshima Journal of Medical Sciences
volume
Volume 54
issue
Issue 4
start page
113
end page
115
date of issued
2005-12
publisher
Hiroshima University Medical Press
issn
0018-2052
ncid
language
eng
nii type
Departmental Bulletin Paper
HU type
Departmental Bulletin Papers
DCMI type
text
format
application/pdf
text version
publisher
rights
Hiroshima University Medical Press
department
Research Institute for Radiation Biology and Medicine
Graduate School of Biomedical Science
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