Hemophagocytic Lymphohistiocytosis and Gastrointestinal Bleeding: What a Surgeon Should Know

This paper presents to the surgical community an unusual and often ignored cause of gastrointestinal bleeding. Hemophagocytic syndrome or hemophagocytic lymphohistiocytosis (HLH) is a rare medical entity characterized by phagocytosis of red blood cells, leucocytes, platelets, and their precursors in...

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Main Authors: S. Popeskou, M. Gavillet, N. Demartines, D. Christoforidis
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2015/745848
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author S. Popeskou
M. Gavillet
N. Demartines
D. Christoforidis
author_facet S. Popeskou
M. Gavillet
N. Demartines
D. Christoforidis
author_sort S. Popeskou
collection DOAJ
description This paper presents to the surgical community an unusual and often ignored cause of gastrointestinal bleeding. Hemophagocytic syndrome or hemophagocytic lymphohistiocytosis (HLH) is a rare medical entity characterized by phagocytosis of red blood cells, leucocytes, platelets, and their precursors in the bone marrow by activated macrophages. When intestinal bleeding is present, the management is very challenging with extremely high mortality rates. Early diagnosis and treatment seem to be the most important factors for a successful outcome. We present two cases and review another 18 from the literature.
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institution Kabale University
issn 2090-6900
2090-6919
language English
publishDate 2015-01-01
publisher Wiley
record_format Article
series Case Reports in Surgery
spelling doaj-art-777221183bc74f6c86be3a3f70d747d62025-02-03T06:00:31ZengWileyCase Reports in Surgery2090-69002090-69192015-01-01201510.1155/2015/745848745848Hemophagocytic Lymphohistiocytosis and Gastrointestinal Bleeding: What a Surgeon Should KnowS. Popeskou0M. Gavillet1N. Demartines2D. Christoforidis3Department of Surgery, Lugano Regional Hospital, SwitzerlandDepartment of Hematology, University Hospital of Lausanne, SwitzerlandDepartment of Surgery, University Hospital of Lausanne, SwitzerlandDepartment of Surgery, Lugano Regional Hospital, SwitzerlandThis paper presents to the surgical community an unusual and often ignored cause of gastrointestinal bleeding. Hemophagocytic syndrome or hemophagocytic lymphohistiocytosis (HLH) is a rare medical entity characterized by phagocytosis of red blood cells, leucocytes, platelets, and their precursors in the bone marrow by activated macrophages. When intestinal bleeding is present, the management is very challenging with extremely high mortality rates. Early diagnosis and treatment seem to be the most important factors for a successful outcome. We present two cases and review another 18 from the literature.http://dx.doi.org/10.1155/2015/745848
spellingShingle S. Popeskou
M. Gavillet
N. Demartines
D. Christoforidis
Hemophagocytic Lymphohistiocytosis and Gastrointestinal Bleeding: What a Surgeon Should Know
Case Reports in Surgery
title Hemophagocytic Lymphohistiocytosis and Gastrointestinal Bleeding: What a Surgeon Should Know
title_full Hemophagocytic Lymphohistiocytosis and Gastrointestinal Bleeding: What a Surgeon Should Know
title_fullStr Hemophagocytic Lymphohistiocytosis and Gastrointestinal Bleeding: What a Surgeon Should Know
title_full_unstemmed Hemophagocytic Lymphohistiocytosis and Gastrointestinal Bleeding: What a Surgeon Should Know
title_short Hemophagocytic Lymphohistiocytosis and Gastrointestinal Bleeding: What a Surgeon Should Know
title_sort hemophagocytic lymphohistiocytosis and gastrointestinal bleeding what a surgeon should know
url http://dx.doi.org/10.1155/2015/745848
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AT mgavillet hemophagocyticlymphohistiocytosisandgastrointestinalbleedingwhatasurgeonshouldknow
AT ndemartines hemophagocyticlymphohistiocytosisandgastrointestinalbleedingwhatasurgeonshouldknow
AT dchristoforidis hemophagocyticlymphohistiocytosisandgastrointestinalbleedingwhatasurgeonshouldknow