Successful treatment of severe hemorrhagic cystitis with cystectomy following matched donor allogeneic hematopoietic cell transplantation

We report a case of severe hemorrhagic cystitis complicating high-dose cyclophosphamide (CY), total body irradiation and allogeneic hematopoietic stem cell transplantation (HSCT). Supportive care with i.v. hydration, platelet transfusions, continuous bladder irrigation and aluminum irrigation of the...

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Veröffentlicht in:Bone marrow transplantation (Basingstoke) 2000-10, Vol.26 (8), p.899-901
Hauptverfasser: KOC, S, HAGGLUND, H, IRETON, R. C, PEREZ-SIMON, J. A, COLLINS, S. J, APPELBAUM, F. R
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container_end_page 901
container_issue 8
container_start_page 899
container_title Bone marrow transplantation (Basingstoke)
container_volume 26
creator KOC, S
HAGGLUND, H
IRETON, R. C
PEREZ-SIMON, J. A
COLLINS, S. J
APPELBAUM, F. R
description We report a case of severe hemorrhagic cystitis complicating high-dose cyclophosphamide (CY), total body irradiation and allogeneic hematopoietic stem cell transplantation (HSCT). Supportive care with i.v. hydration, platelet transfusions, continuous bladder irrigation and aluminum irrigation of the bladder was ineffective and the patient developed multiple complications from hemorrhagic cystitis. His condition became critical with persistent bleeding, pulmonary edema and acute renal failure. These problems resolved following successful simple cystectomy and ileal conduit. The patient did not develop any acute or chronic complications following surgery. He is alive with a good quality of life and in third remission after receiving salvage chemotherapy 14 months after his transplantation.
doi_str_mv 10.1038/sj.bmt.1702611
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subjects Aluminum
Biological and medical sciences
Bladder
Bone marrow
Bone marrow transplantation
Case reports
Chemotherapy
Complications
Cyclophosphamide
Cyclophosphamide - adverse effects
Cystectomy
Cystitis
Cystitis - etiology
Cystitis - surgery
Drug toxicity and drugs side effects treatment
Edema
Hematopoietic Stem Cell Transplantation - adverse effects
Hematopoietic stem cells
Hemorrhage
Hemorrhage - surgery
Hemorrhagic cystitis
Humans
Irradiation
Irrigation
Male
Medical sciences
Middle Aged
Patients
Pharmacology. Drug treatments
Quality of life
Radiation
Remission
Renal failure
Stem cell transplantation
Stem cells
Toxicity: urogenital system
Transplantation
Transplantation, Homologous
title Successful treatment of severe hemorrhagic cystitis with cystectomy following matched donor allogeneic hematopoietic cell transplantation
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