Abstract
It is difficult to determine whether to perform surgical treatment or not in the patient with acute celiopathy complicating ahematopoietic organ tumor in the bone marrow inhibition stage. We performed surgical treatment in 2 leukemia cases during the bone marrow inhibition stage. Diverticulitis of the large intestine occurred in one patient and acute appendicitis in the other. We present these two cases. Case 1 was that of a 46-year-old female. The blood data of this patient were WBC 2, 000/mm3 (neutrophils 1%) and right hemi-colectomy was performed. Perforating pseudodiverticula of the ascending colon were observed. Case 2 was that of a 68-year-old female. The blood data were WBC 400/mm3 (neutrophils 0%) and appendectomy was performed. It was acute appendicitis accompained by marked degenerative inflammation. In both cases the surgery and post-surgical controls were carried out in a clean room. After surgry without hemorrhage and wound infection it was possible to resume the treatment for leukemia, so the surgery was considered effective. Regardless of the stage of the underlying disease and even in the bone marrow inhibition stage, it was suggested that the positive indications for surgery could improve the therapeutic effect on the underlying disease if performed under careful control during and after the surgery
