Abstract
In general, polypectomy has been considered to be a contraindication for patients with bleeding tendency including blood diseases. The present report, however, deals with successful endoscopic polypectomy perfomed in a patient with leukemia. A 77-year-old male patient with erythroleukemia was admitted to our hospital because of melena for a month. Sigmoidscopy showed a hemorrhagic polyp of the rectum. Bleeding time was normalized after platelet transfusion, and polypectmy was safely performed. He died of cerebral hemorrhage due to DIC, but there was no evidence of hemorrhage after polypectomy at autopsy. Polypectomy might not be considered to be a contraindication for patients with hemorrhagic diathesis including leukemia if the homeostasis is normalized. Polypectomy is useful for treating a bleeding lesion as in this case.
