Colon Adenoma Implicating Myasthenia Gravis: A Case Report of a Patient with Postcolectomy Complications

We report the case of a 63-year-old patient with myasthenia gravis (MG) due to acetylcholine receptor antibodies (AChR) who underwent colectomy due to colon adenoma and developed myasthenic crisis and anastomosis leakage after surgery. The patient underwent two plasma exchanges, 4 and 6 days preoper...

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Autores principales: Papachatzakis, Y., Tseliou, E., Tatouli, I., Dialoupi, I., Michas, F., Papadopoulou, E., Kousouris, D., Kontogiannis, S., Dimopoulos, M. A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2016
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5005576/
https://www.ncbi.nlm.nih.gov/pubmed/27610255
http://dx.doi.org/10.1155/2016/6297656
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author Papachatzakis, Y.
Tseliou, E.
Tatouli, I.
Dialoupi, I.
Michas, F.
Papadopoulou, E.
Kousouris, D.
Kontogiannis, S.
Dimopoulos, M. A.
author_facet Papachatzakis, Y.
Tseliou, E.
Tatouli, I.
Dialoupi, I.
Michas, F.
Papadopoulou, E.
Kousouris, D.
Kontogiannis, S.
Dimopoulos, M. A.
author_sort Papachatzakis, Y.
collection PubMed
description We report the case of a 63-year-old patient with myasthenia gravis (MG) due to acetylcholine receptor antibodies (AChR) who underwent colectomy due to colon adenoma and developed myasthenic crisis and anastomosis leakage after surgery. The patient underwent two plasma exchanges, 4 and 6 days preoperatively, and received intravenous prednisolone and immunoglobulin infusion due to the crisis, which included primarily bulbar symptoms. The patient developed on the 10th postoperative day bowel obstruction symptoms and anastomosis leakage which required surgical repair and ileostomy. Bowel obstruction occurred in a patient with AChR related myasthenia after plasma exchange and during immunosuppression although it is more commonly reported in patients with thymoma related myasthenia.
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spelling pubmed-50055762016-09-08 Colon Adenoma Implicating Myasthenia Gravis: A Case Report of a Patient with Postcolectomy Complications Papachatzakis, Y. Tseliou, E. Tatouli, I. Dialoupi, I. Michas, F. Papadopoulou, E. Kousouris, D. Kontogiannis, S. Dimopoulos, M. A. Case Rep Neurol Med Case Report We report the case of a 63-year-old patient with myasthenia gravis (MG) due to acetylcholine receptor antibodies (AChR) who underwent colectomy due to colon adenoma and developed myasthenic crisis and anastomosis leakage after surgery. The patient underwent two plasma exchanges, 4 and 6 days preoperatively, and received intravenous prednisolone and immunoglobulin infusion due to the crisis, which included primarily bulbar symptoms. The patient developed on the 10th postoperative day bowel obstruction symptoms and anastomosis leakage which required surgical repair and ileostomy. Bowel obstruction occurred in a patient with AChR related myasthenia after plasma exchange and during immunosuppression although it is more commonly reported in patients with thymoma related myasthenia. Hindawi Publishing Corporation 2016 2016-08-17 /pmc/articles/PMC5005576/ /pubmed/27610255 http://dx.doi.org/10.1155/2016/6297656 Text en Copyright © 2016 Y. Papachatzakis et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Papachatzakis, Y.
Tseliou, E.
Tatouli, I.
Dialoupi, I.
Michas, F.
Papadopoulou, E.
Kousouris, D.
Kontogiannis, S.
Dimopoulos, M. A.
Colon Adenoma Implicating Myasthenia Gravis: A Case Report of a Patient with Postcolectomy Complications
title Colon Adenoma Implicating Myasthenia Gravis: A Case Report of a Patient with Postcolectomy Complications
title_full Colon Adenoma Implicating Myasthenia Gravis: A Case Report of a Patient with Postcolectomy Complications
title_fullStr Colon Adenoma Implicating Myasthenia Gravis: A Case Report of a Patient with Postcolectomy Complications
title_full_unstemmed Colon Adenoma Implicating Myasthenia Gravis: A Case Report of a Patient with Postcolectomy Complications
title_short Colon Adenoma Implicating Myasthenia Gravis: A Case Report of a Patient with Postcolectomy Complications
title_sort colon adenoma implicating myasthenia gravis: a case report of a patient with postcolectomy complications
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5005576/
https://www.ncbi.nlm.nih.gov/pubmed/27610255
http://dx.doi.org/10.1155/2016/6297656
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