Colon Adenoma Implicating Myasthenia Gravis: A Case Report of a Patient with Postcolectomy Complications.
We report the case of a 63-year-old patient with myasthenia gravis (MG) due to acetylcholine receptor antibodies (AChR) who underwent colectomy due to colon adenoma and developed myasthenic crisis and anastomosis leakage after surgery. The patient underwent two plasma exchanges, 4 and 6 days preoperatively, and received intravenous prednisolone and immunoglobulin infusion due to the crisis, which included primarily bulbar symptoms. The patient developed on the 10th postoperative day bowel obstruction symptoms and anastomosis leakage which required surgical repair and ileostomy. Bowel obstruction occurred in a patient with AChR related myasthenia after plasma exchange and during immunosuppression although it is more commonly reported in patients with thymoma related myasthenia.
Advanced Care Unit, Department of Therapeutics, Alexandra Hospital, University of Athens, Greece.
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Papachatzakis
Advanced Care Unit, Department of Therapeutics, Alexandra Hospital, University of Athens, Greece.
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0000-0001-5025-5085
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Tseliou
Advanced Care Unit, Department of Therapeutics, Alexandra Hospital, University of Athens, Greece.
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Tatouli
Advanced Care Unit, Department of Therapeutics, Alexandra Hospital, University of Athens, Greece.
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Dialoupi
Advanced Care Unit, Department of Therapeutics, Alexandra Hospital, University of Athens, Greece.
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Michas
Advanced Care Unit, Department of Therapeutics, Alexandra Hospital, University of Athens, Greece.
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Papadopoulou
Advanced Care Unit, Department of Therapeutics, Alexandra Hospital, University of Athens, Greece.
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Kousouris
Advanced Care Unit, Department of Therapeutics, Alexandra Hospital, University of Athens, Greece.
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0000-0001-6466-0030
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Kontogiannis
Advanced Care Unit, Department of Therapeutics, Alexandra Hospital, University of Athens, Greece.
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Dimopoulos