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KMID : 0604020070220010042
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Korean Journal of Critical Care Medicine
2007 Volume.22 No. 1 p.42 ~ p.47
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Hemolytic Uremic Syndrome Occurred after Esophagectomy -A Case Report-
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Park Su-Hyeon
Jeong Sung-Tae
Kim Seok-Jae
Bae Hong-Beom
Chung Sung-Su
Kwak Sang-Hyun
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Abstract
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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.
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KEYWORD
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Acute renal failure, Esophagectomy, Hemolytic anemia, Thrombocytopenia
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