由血细胞白血病引起的自发骨破裂的罕见表现-一个病例报告
Hershil Khatri1, Nakhyun Kim2, Tzu-Yi Arron Chuang2
1Department of General Surgery, Ipswich Hospital, Ipswich, QLD 4305, Australia.
Journal of surgical case reports
|April 12, 2024
概括
自发的骨破裂是一种罕见的疾病. 这一案例突出显示了血细胞白血病 (PCL) 是导致老年男性裂的原因,需要紧急手术和化疗.
科学领域:
- 血液学 血液学 血液学
- 在瘤学瘤学.
- 手术病理学手术病理学
背景情况:
- 自发的骨破裂不常见,通常与感染或血液恶性瘤有关.
- 血细胞白血病 (PCL) 是一种侵略性的多发性髓瘤亚型,可导致脏膨胀和出血,原因是血小板数量低.
研究的目的:
- 报告一种罕见的由血细胞白血病 (PCL) 引起的自发骨破裂病例.
- 讨论PCL诱导的骨破裂的临床表现,管理和结果.
主要方法:
- 一个82岁的男性的病例报告显示,他患有腹部疼痛和心智变化.
- 诊断成像显示了自发的骨破裂.
- 进行了紧急腹腔切除术和脊髓切除术.
- 组织病理学证实PCL是破裂的原因.
- 患者接受了博特佐米布和高CVAD 1A化疗.
主要成果:
- 患者出现了出血性休克和心智变化.
- 紧急脊髓切除术是在自发的脊髓破裂的情况下进行的.
- 组织病理学证实了血细胞白血病是潜在的原因.
- 患者在住院和化疗治疗64天后康复.
结论:
- 血细胞白血病可以作为一种罕见的自发骨破裂的原因.
- 迅速的外科干预和化疗对于管理PCL相关的骨破裂至关重要.
- 这一案例强调了在无创性骨破裂中考虑血液性恶性瘤的重要性.
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