One Case of Stercoral Colonic Perforation During Treatment of Hemodialysis and Polycythemia Vera

Naoki Harada, Yoshihiko Tsukamoto, Masahiro Samizo and Masaru Miyashita

Department of Surgery, Kohnan Hospital

Polycythemia vera (PV) is an idiopathic malignancy involving an increase in hematopoietic stem cells. PV is thought to be equivalent to chronic low-grade disseminated intravascular coagulation (DIC). Surgical results invariably involve secondary complications such as thrombosis and bleeding. A 61-year-old woman diagnosed with PV 11 years earlier underwent hemodialysis and steroid treatment for renal failure. She was diagnosed with panperitonitis due to colon perforation and underwent emergency surgery that revealed stercoral perforation of the rectosigmoid colon. After strict postoperative management, she was discharged on postoperative 40 day.

Key words
polycythemia vera (PV), stercoral colonic perforation, hemodialysis

Reprint requests
Naoki Harada Department of Surgery, Public Shiso General Hospital
93 Shikazawa, Yamasaki-cho, shiso, 671-2576 JAPAN

Accepted
July 25, 2007

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