Bardet-Biedl Syndrome with a Kidney Transplant, Esophageal Adenocarcinoma, and Postoperative Complications

The authors present a rare clinical case of a patient with Bardet-Biedl syndrome and chronic kidney disease, who reached end-stage renal disease (ESRD) and underwent a long-term hemodialysis treatment, during which infections with Hepatitis C Virus (HCV) infection and Cytomegalovirus (CMV) infection...

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Main Authors: Georgi Yankov, Teodora Mihalova, Rosen Petkov, Evgeni Mekov, Stefka Yankova, Danail Petrov
Format: Article
Language:English
Published: Wiley 2019-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2019/8983174
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author Georgi Yankov
Teodora Mihalova
Rosen Petkov
Evgeni Mekov
Stefka Yankova
Danail Petrov
author_facet Georgi Yankov
Teodora Mihalova
Rosen Petkov
Evgeni Mekov
Stefka Yankova
Danail Petrov
author_sort Georgi Yankov
collection DOAJ
description The authors present a rare clinical case of a patient with Bardet-Biedl syndrome and chronic kidney disease, who reached end-stage renal disease (ESRD) and underwent a long-term hemodialysis treatment, during which infections with Hepatitis C Virus (HCV) infection and Cytomegalovirus (CMV) infection were established. Kidney transplantation from an alive unrelated donor was performed. Later, an adenocarcinoma of the esophagus was diagnosed at an early stage, treated surgically with resection of the esophagus and gastroesophagoplasty afterward. Seven months later, a rare complication of the immunosuppressive therapy with Cyclosporin A occurred, which consisted of spontaneous bilateral pleural hemorrhage. The same, as well as the postoperative ventral hernia, was successfully resolved. Concomitant HCV was also treated. Rare autosomal recessive syndrome with severe complications, adenocarcinoma of the esophagus, spontaneous bilateral pleural hemorrhage after the operation, and successful treatment were discussed.
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institution Kabale University
issn 2090-6900
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language English
publishDate 2019-01-01
publisher Wiley
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series Case Reports in Surgery
spelling doaj-art-53981425d84847218a21df7d63b711db2025-02-03T06:11:22ZengWileyCase Reports in Surgery2090-69002090-69192019-01-01201910.1155/2019/89831748983174Bardet-Biedl Syndrome with a Kidney Transplant, Esophageal Adenocarcinoma, and Postoperative ComplicationsGeorgi Yankov0Teodora Mihalova1Rosen Petkov2Evgeni Mekov3Stefka Yankova4Danail Petrov5Department of Pulmonary Diseases, Medical Faculty, Medical University-Sofia, MHATPD “Sveta Sofia, ” 19, “Acad. Ivan Geshov” Blvd, BulgariaDepartment of Pulmonary Diseases, Medical Faculty, Medical University-Sofia, MHATPD “Sveta Sofia, ” 19, “Acad. Ivan Geshov” Blvd, BulgariaDepartment of Pulmonary Diseases, Medical Faculty, Medical University-Sofia, MHATPD “Sveta Sofia, ” 19, “Acad. Ivan Geshov” Blvd, BulgariaDepartment of Pulmonary Diseases, Medical Faculty, Medical University-Sofia, MHATPD “Sveta Sofia, ” 19, “Acad. Ivan Geshov” Blvd, BulgariaDepartment of Nephrology and Hemodialysis “Prof. I. Mitеv, ” Medical Faculty, Medical University-Sofia, 11, “Acad. Ivan Geshov” Blvd, BulgariaDepartment of Pulmonary Diseases, Medical Faculty, Medical University-Sofia, MHATPD “Sveta Sofia, ” 19, “Acad. Ivan Geshov” Blvd, BulgariaThe authors present a rare clinical case of a patient with Bardet-Biedl syndrome and chronic kidney disease, who reached end-stage renal disease (ESRD) and underwent a long-term hemodialysis treatment, during which infections with Hepatitis C Virus (HCV) infection and Cytomegalovirus (CMV) infection were established. Kidney transplantation from an alive unrelated donor was performed. Later, an adenocarcinoma of the esophagus was diagnosed at an early stage, treated surgically with resection of the esophagus and gastroesophagoplasty afterward. Seven months later, a rare complication of the immunosuppressive therapy with Cyclosporin A occurred, which consisted of spontaneous bilateral pleural hemorrhage. The same, as well as the postoperative ventral hernia, was successfully resolved. Concomitant HCV was also treated. Rare autosomal recessive syndrome with severe complications, adenocarcinoma of the esophagus, spontaneous bilateral pleural hemorrhage after the operation, and successful treatment were discussed.http://dx.doi.org/10.1155/2019/8983174
spellingShingle Georgi Yankov
Teodora Mihalova
Rosen Petkov
Evgeni Mekov
Stefka Yankova
Danail Petrov
Bardet-Biedl Syndrome with a Kidney Transplant, Esophageal Adenocarcinoma, and Postoperative Complications
Case Reports in Surgery
title Bardet-Biedl Syndrome with a Kidney Transplant, Esophageal Adenocarcinoma, and Postoperative Complications
title_full Bardet-Biedl Syndrome with a Kidney Transplant, Esophageal Adenocarcinoma, and Postoperative Complications
title_fullStr Bardet-Biedl Syndrome with a Kidney Transplant, Esophageal Adenocarcinoma, and Postoperative Complications
title_full_unstemmed Bardet-Biedl Syndrome with a Kidney Transplant, Esophageal Adenocarcinoma, and Postoperative Complications
title_short Bardet-Biedl Syndrome with a Kidney Transplant, Esophageal Adenocarcinoma, and Postoperative Complications
title_sort bardet biedl syndrome with a kidney transplant esophageal adenocarcinoma and postoperative complications
url http://dx.doi.org/10.1155/2019/8983174
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AT rosenpetkov bardetbiedlsyndromewithakidneytransplantesophagealadenocarcinomaandpostoperativecomplications
AT evgenimekov bardetbiedlsyndromewithakidneytransplantesophagealadenocarcinomaandpostoperativecomplications
AT stefkayankova bardetbiedlsyndromewithakidneytransplantesophagealadenocarcinomaandpostoperativecomplications
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