Dataset Information

Massive Spontaneous Suprachoroidal Hemorrhage in a Patient With Type 1 Chronic Myeloid Leukemia and Lymphoplasmacytic Lymphoma: Case Report and Review of the Literature.

ABSTRACT:

Purpose

This work reports a rare case of spontaneous suprachoroidal hemorrhage (SSCH) and summarizes the literature on its treatment options and outcomes.

Methods

A case report and comprehensive literature review are presented on the medical and surgical management of SSCH on PubMed from 1998 to 2021.

Results

The literature search revealed 58 studies, 33 of which included 52 eyes of 47 patients. Surgical treatment typically consisted of choroidal drainage with posterior sclerotomies combined with pars plana vitrectomy and silicone oil placement. Medical therapy involved intraocular pressure control with laser peripheral iridotomy and topical, oral, and intravenous medication.

Conclusions

In cases of SSCH, conservative management and a prompt workup should be initiated to identify the cause before proceeding with surgery. If the initial workup does not reveal a cause, medical and surgical treatments are both viable and the decision is at the discretion of the treating physician.

SUBMITTER: Cruz-Pimentel M

PROVIDER: S-EPMC9976121 | biostudies-literature | 2022 May-Jun

REPOSITORIES: biostudies-literature

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Publications

Massive Spontaneous Suprachoroidal Hemorrhage in a Patient With Type 1 Chronic Myeloid Leukemia and Lymphoplasmacytic Lymphoma: Case Report and Review of the Literature.

Cruz-Pimentel Miguel M Mehraban Far Parsa P Brent Michael H MH Yan Peng P

Journal of vitreoretinal diseases 20220525 3

<h4>Purpose</h4>This work reports a rare case of spontaneous suprachoroidal hemorrhage (SSCH) and summarizes the literature on its treatment options and outcomes.<h4>Methods</h4>A case report and comprehensive literature review are presented on the medical and surgical management of SSCH on PubMed from 1998 to 2021.<h4>Results</h4>The literature search revealed 58 studies, 33 of which included 52 eyes of 47 patients. Surgical treatment typically consisted of choroidal drainage with posterior scl ...[more]

PMID: 37008555

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Project description:BackgroundHepatogastric fistula (HGF) is an uncommon occurrence that can be associated with various medical conditions. The primary causes typically involve peptic ulcer disease, infections (such as pyogenic, amoebic or tuberculosis), or iatrogenic factors (like post transarterial chemoembolization or radiotherapy). Massive gastrointestinal hemorrhage following HGF is extremely rare, with iodine-125 (125I) seed migration to the stomach through HGF not previously documented. This report explores this unique case and reviews other recent instances of rare gastrointestinal hemorrhage due to HGF.Case descriptionA 32-year-old man with chronic B viral hepatitis underwent emergency surgery to control bleeding due to hepatocellular carcinoma (HCC) rupture. One month postoperatively, an active residual tumor (44 mm × 33 mm) was found in the caudate lobe of the liver. The patient was admitted for percutaneous microwave coagulation therapy (PMCT) and 125I seed implantation sequentially. No postoperative discomfort was observed. Subsequent intrahepatic HCC distant recurrences were successfully managed using PMCT and systemic treatments (molecular targeted drug and checkpoint inhibitor). Twenty months after the initial seed implantation in the caudate lobe, the patient was referred again owing to intrahepatic tumor recurrence in the right lobe and underwent repeat PMCT and 125I seed implantation. Two days after the second 125I seed implantation, the patient presented with severe upper gastrointestinal bleeding and epigastric pain. The caudate lobe was in communication with the lesser curvature of the stomach, resulting in the formation of the HGF. Subsequently, intermittent massive gastrointestinal hemorrhage occurred, and seed implantation in the caudate lobe migrated to the stomach through the HGF. Endoscopy and imaging confirmed HGF and seed migration to the stomach, and surgery was successfully performed.ConclusionsA thorough clinical medical history and heightened vigilance are essential for diagnosing and managing this rare complication.

Dataset Information

Massive Spontaneous Suprachoroidal Hemorrhage in a Patient With Type 1 Chronic Myeloid Leukemia and Lymphoplasmacytic Lymphoma: Case Report and Review of the Literature.

Purpose

Methods

Results

Conclusions

Publications

Massive Spontaneous Suprachoroidal Hemorrhage in a Patient With Type 1 Chronic Myeloid Leukemia and Lymphoplasmacytic Lymphoma: Case Report and Review of the Literature.

Similar Datasets

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