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Acute appendicitis in patients with acute leukemia
1Department of Internal Medicine, College of Medicine, Soonchunhyang University, Seoul, Korea.
The Korean Journal of Internal Medicine
|January 1, 1993
Summary
Surgical intervention for appendicitis in leukemia patients with leukopenia is feasible and safe. Appendectomy offers effective treatment for acute appendicitis in these immunocompromised patients, leading to positive outcomes.
Area of Science:
- Oncology
- Surgical Gastroenterology
Background:
- Abdominal pain in leukopenic patients poses a diagnostic challenge.
- Surgical intervention risks infectious complications due to immunosuppression.
Observation:
- Four adult leukemia patients with acute appendicitis were reviewed.
- Patients had varying stages of leukemia and treatments, including chemotherapy and steroids.
Findings:
- All four patients underwent appendectomy for acute appendicitis.
- Successful recovery without infectious complications was observed in all cases.
Implications:
- Surgical management of appendicitis is effective in acute leukemia patients, even with leukopenia.
- Appendectomy can be safely performed in immunocompromised leukemia patients.