Hemophagocytic Syndrome after Distal Gastrectomy

Ryuusuke Aihara, Teturo Ohno, Erito Mochiki, Hiromi Koiso*, Takayuki Asao and Hiroyuki Kuwano

Department of General Surgical Science and Department of Medicine and Clinical Science*, Gunma University Graduate School of Medicine

A 66-year-old man undergoing distal gastrectomy for gastric carcinoma suffered fever, hepatosplenomegaly, and leukocytopenia 35 days after operation, and a diagnosis of hemophagocytic syndrome (HPS) based on guidlelines. Stenotrophononas maltophilia observed from a blood culture indicated virus-associated HPS, so we started steroid therapy. The patient achieved a good response, with fever dropping 1 day after the start of administration. Platelet counts also gradually increased. The man was discharged on postoperative day 72 and remains well with no apparent sign of HPS or recurrence of gastric cancer 8 months after surgery.

Key words
hemophagocytic syndrome, gastrectomy

Reprint requests
Ryuusuke Aihara Department of General Surgical Science, Gunma University Graduate School of Medicine
3-39-22 Showamachi, Maebashi, 371-8511 JAPAN

Accepted
September 16, 2009

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