Coexistence of Von Willebrand disease and gastrointestinal stromal tumor (G.I.S.T): Case report of a rare and challenge association.

Gastrointestinal bleeding Gastrointestinal stromal tumor (GIST) Thrombotic risk Von Willebrand 2B

Journal

Transfusion and apheresis science : official journal of the World Apheresis Association : official journal of the European Society for Haemapheresis
ISSN: 1473-0502
Titre abrégé: Transfus Apher Sci
Pays: England
ID NLM: 101095653

Informations de publication

Date de publication:
Aug 2020
Historique:
received: 09 12 2019
revised: 08 04 2020
accepted: 19 04 2020
pubmed: 24 5 2020
medline: 9 6 2021
entrez: 24 5 2020
Statut: ppublish

Résumé

Von Willebrand disease (VWD) is the most common inherited bleeding disorder and is caused by a quantitative (type 1 and 3) or qualitative (type 2) defect of Von Willebrand factor (VWF). Bleeding from the gastrointestinal (GI) tract is not uncommon in VWD and is usually associated with angiodysplasia. We report herein on the management of a patient affected by VWD2B with severe GI bleeding secondary to gastrointestinal stromal tumor (GIST) complicated by deep vein thrombosis (DVT). The current case demonstrated that the hemostatic balance, in RBDs under specific circumstances, can range from a tendency toward a hemorrhagic to normal or prothrombotic state. In these patients, a close collaboration between hematologists and surgeons can guarantee appropriate management in high-risk clinical scenarios.

Identifiants

pubmed: 32444278
pii: S1473-0502(20)30100-2
doi: 10.1016/j.transci.2020.102805
pii:
doi:

Types de publication

Case Reports Journal Article

Langues

eng

Pagination

102805

Informations de copyright

Copyright © 2020. Published by Elsevier Ltd.

Auteurs

Simona Raso (S)

University of Palermo, Unit of Haematology, Department of Surgical, Oncological and Oral Sciences (Di.Chir.On.S), Palermo, Italy. Electronic address: simona.raso@unipa.it.

Mariasanta Napolitano (M)

University of Palermo, Reference Regional Center for Thrombosis and Hemostasis, Unit of Haematology PROMISE Department, Palermo, Italy.

Francesca Mansueto (F)

University of Palermo, Reference Regional Center for Thrombosis and Hemostasis, Unit of Haematology PROMISE Department, Palermo, Italy.

Paola Mercurio (P)

University of Palermo, Department of General Emergency and Transplant Surgery, Unit of General and Emergency Surgery, Palermo, Italy.

Gianfranco Cocorullo (G)

University of Palermo, Department of General Emergency and Transplant Surgery, Unit of General and Emergency Surgery, Palermo, Italy.

Marco Santoro (M)

University of Palermo, Unit of Haematology, Department of Surgical, Oncological and Oral Sciences (Di.Chir.On.S), Palermo, Italy.

Vincenzo Accurso (V)

University of Palermo, Reference Regional Center for Thrombosis and Hemostasis, Unit of Haematology PROMISE Department, Palermo, Italy.

Salvatrice Mancuso (S)

University of Palermo, Reference Regional Center for Thrombosis and Hemostasis, Unit of Haematology PROMISE Department, Palermo, Italy.

Sergio Siragusa (S)

University of Palermo, Reference Regional Center for Thrombosis and Hemostasis, Unit of Haematology PROMISE Department, Palermo, Italy.

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Classifications MeSH