Ibrutinib Induces a Dramatic Improvement for Idiopathic Refractory Ascites Following Allogeneic Hematopoietic Cell Transplantation

We herein report a case of idiopathic refractory ascites following allogeneic hematopoietic cell transplantation that was successfully treated with ibrutinib. A 39-year-old man presented with massive transudative ascites. Despite a high portal venous pressure, the liver histology showed traces of al...

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Veröffentlicht in:Internal Medicine 2023, pp.1139-22
Hauptverfasser: Tazoe, Kumiyo, Nishimoto, Mitsutaka, Yamamoto, Akira, Makuuchi, Yosuke, Kuno, Masatomo, Okamura, Hiroshi, Nakashima, Yasuhiro, Tanaka, Sayaka, Ohsawa, Masahiko, Hino, Masayuki, Nakamae, Hirohisa
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container_end_page 2741
container_issue 18
container_start_page 1139-22
container_title Internal Medicine
container_volume 62
creator Tazoe, Kumiyo
Nishimoto, Mitsutaka
Yamamoto, Akira
Makuuchi, Yosuke
Kuno, Masatomo
Okamura, Hiroshi
Nakashima, Yasuhiro
Tanaka, Sayaka
Ohsawa, Masahiko
Hino, Masayuki
Nakamae, Hirohisa
description We herein report a case of idiopathic refractory ascites following allogeneic hematopoietic cell transplantation that was successfully treated with ibrutinib. A 39-year-old man presented with massive transudative ascites. Despite a high portal venous pressure, the liver histology showed traces of alloreactivity inconsistent with veno-occlusive disease/sinusoidal obstructive syndrome. Ibrutinib was administered for ascites possibly secondary to portal hypertension associated with the alloreactivity. The ascites dramatically improved, and the portal venous pressure was reduced. This case may help clarify the mechanism through which refractory ascites develops after allogeneic hematopoietic cell transplantation and establish appropriate treatment protocols.
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subjects Allografts
Ascites
Case Report
Case reports
hematopoietic cell transplantation
Hematopoietic stem cells
ibrutinib
Internal medicine
portal hypertension
refractory ascites
Transplantation
Veno-occlusive disease
title Ibrutinib Induces a Dramatic Improvement for Idiopathic Refractory Ascites Following Allogeneic Hematopoietic Cell Transplantation
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