The surgical management of abdominal pain in the multiple myeloma patient

Jared Garrett, Vicki Klimberg, Elias Anaissie, Bart Barlogie, Richard Turnage, Brian D. Badgwell

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background: The purpose of this retrospective study was to characterize the presentation, treatment, and outcomes of patients with multiple myeloma requiring surgical evaluation for abdominal pain. Methods: Medical records of patients with myeloma and abdominal pain evaluated by surgery over a period of 18 months were examined. Results: Twenty-one patients underwent surgical evaluation, with 23 diagnoses. Neutropenic enterocolitis (n = 5 [22%]) and ileus (n = 4 [17%]) were common diagnoses. Eleven patients (52%) were neutropenic. Peritonitis was noted in only 1 patient. Eastern Cooperative Oncology Group performance status was either 3 or 4 in most patients (67%). Surgery was performed in 5 patients. The 90-day mortality rate for all patients was 43%, with all deaths secondary to sepsis in patients managed without surgery. Conclusions: Patients with myeloma requiring surgical evaluation for abdominal pain have a unique differential diagnosis, with notable findings at presentation including the presence of cytopenia, lack of peritoneal signs, and low performance status.

Original languageEnglish (US)
Pages (from-to)127-131
Number of pages5
JournalAmerican Journal of Surgery
Volume203
Issue number2
DOIs
StatePublished - Feb 2012
Externally publishedYes

Fingerprint

Multiple Myeloma
Abdominal Pain
Neutropenic Enterocolitis
Ileus
Peritonitis
Medical Records
Sepsis
Differential Diagnosis
Retrospective Studies
Mortality

Keywords

  • Abdominal pain
  • Multiple myeloma
  • Surgery

ASJC Scopus subject areas

  • Surgery

Cite this

The surgical management of abdominal pain in the multiple myeloma patient. / Garrett, Jared; Klimberg, Vicki; Anaissie, Elias; Barlogie, Bart; Turnage, Richard; Badgwell, Brian D.

In: American Journal of Surgery, Vol. 203, No. 2, 02.2012, p. 127-131.

Research output: Contribution to journalArticle

Garrett, J, Klimberg, V, Anaissie, E, Barlogie, B, Turnage, R & Badgwell, BD 2012, 'The surgical management of abdominal pain in the multiple myeloma patient', American Journal of Surgery, vol. 203, no. 2, pp. 127-131. https://doi.org/10.1016/j.amjsurg.2011.02.012
Garrett, Jared ; Klimberg, Vicki ; Anaissie, Elias ; Barlogie, Bart ; Turnage, Richard ; Badgwell, Brian D. / The surgical management of abdominal pain in the multiple myeloma patient. In: American Journal of Surgery. 2012 ; Vol. 203, No. 2. pp. 127-131.
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