https://doi.org/10.4081/ejtm.2020.9161

A case report of severe veno-occlusive disease following autologous stem cell transplantation successfully treated with Defibrotide

Vol. 30 No. 3 (2020)
Submitted: 4 June 2020
Accepted: 18 June 2020
Published: 15 September 2020
neuroblastoma, hematopoietic stem cell transplantation, veno-occlusive disease, Defibrotide
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Authors

Gholamreza Bahoush
gr.bahoushoncologist@gmail.com
Ali-Asghar Children Hospital, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran, Islamic Republic of.
Maryam Vafapour
Ali-Asghar Children Hospital, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran, Islamic Republic of.

Veno-occlusive disease (VOD) is one of the complications of hematopoietic stem cell transplantation that can also be caused by high-dose chemotherapy. This complication can lead to high mortality following bone marrow transplantation. It is more common after allogeneic stem cell transplantation, and is rare after autologous stem cell transplantation. While mild cases of VOD may reduce over a period of a few weeks, very severe cases can cause multi-organ damage, which has a high mortality. is therefore required with early diagnosis and treatment of this complication. In this paper, we present a sever VOD case after autologous stem cell transplantation, that was treated successfully with Defibrotide. The patient was a 14-month-old girl who has neuroblastoma with bone metastasis. VOD should be considered in the differential diagnosis of haematopoietic stem cell transplantation recipients who present with unexplained liver injuries, ascites and/or multi organ failure. Recipients of haematopoeitic stem cell transplantation who present with unexplained liver injuries, ascites and/or multi organ failure should have VOD considered in their differential diagnosis. If there is severe VOD diagnosed, then Defibrotide could be an option for treatment.

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How to Cite

Bahoush, G., & Vafapour, M. (2020). A case report of severe veno-occlusive disease following autologous stem cell transplantation successfully treated with Defibrotide. European Journal of Translational Myology, 30(3). https://doi.org/10.4081/ejtm.2020.9161

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