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Ter Arkh ; 89(1): 78-81, 2017.
Article in Russian | MEDLINE | ID: mdl-28252632

ABSTRACT

The paper describes a case of autoimmune hemolytic anemia (AIHA) in a 27-year-old woman whose examination revealed mesenteric teratoma. AIHA was characterized by a hypertensive crisis and a temporary response to corticosteroid therapy that was complicated by the development of somatogenic psychosis and discontinued. A relapse of hemolysis developed 6 months later. The patient underwent laparoscopic splenectomy and removal of mesenteric root teratoma. Immediately after surgery, a hematological response was obtained as relief of hemolysis and restoration of a normal hemoglobin level. There is a sustained remission of AIHA for the next 16 months.


Subject(s)
Abdominal Neoplasms/surgery , Anemia, Hemolytic, Autoimmune/complications , Teratoma/surgery , Adult , Female , Humans , Laparoscopy , Splenectomy
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