Acute Appendicitis Treated by Laparoscopic Appendectomy on the Day for Bone Marrow Transplantation: A Case Report

Abstract

An 18-year-old male, who was scheduled to undergo bone marrow transplantation for acute myelotic leukemia, complained of abdominal pain on the day of the transplantation. Based on CT images, acute appendicitis was suspected. Myeloablative preparation had already been performed, and bone marrow suppression was expected in a few days; therefore, appendectomy by laparoscopic approach was indicated on the day of the bone marrow transplantation. There were no complications related to the operation, and he was discharged on the 156^th postoperative day. The surgical treatment for leukemia patients should be decided after careful consideration based on their bone marrow suppression status. In this case, immediate diagnosis and treatment for acute appendicitis were essential for a successful bone marrow transplantation.