Intractable Gastrointestinal Bleeding from Angiodysplasia in a Patient of Bernard-Soulier Syndrome : Report of a Case
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ID | 37670 |
本文ファイル | |
著者 |
Okita, Riki
Konishi, Kazuo
Osaki, Akihiko
Yoshida, Kazuhiro
Yamaguchi, Yoshiyuki
Toge, Tetsuya
Fujimura, Kingo
Iwata, Takashi
Sawamura, Akihiro
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キーワード | Bernard-Soulier syndrome
Gastrointestinal bleeding
Angiodysplasia
Interventional embolization
Breast cancer
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NDC |
医学
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抄録(英) | 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.
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掲載誌名 |
Hiroshima Journal of Medical Sciences
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巻 | 54巻
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号 | 4号
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開始ページ | 113
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終了ページ | 115
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出版年月日 | 2005-12
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出版者 | Hiroshima University Medical Press
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ISSN | 0018-2052
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NCID | |
言語 |
英語
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NII資源タイプ |
紀要論文
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広大資料タイプ |
学内刊行物(紀要等)
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DCMIタイプ | text
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フォーマット | application/pdf
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著者版フラグ | publisher
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権利情報 | Hiroshima University Medical Press
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部局名 |
原爆放射線医科学研究所
医歯薬学総合研究科
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他の一覧 |