PP 67 Results Of Autologous Bone Marrow Mononuclear Cells In The Treatment For Acute Limb Ischaemia In A Patient With Crohnís Disease

Main Article Content

Chua S H Krishna K K Izan M G Lenny S Azim I H Harunarashid

Abstract

Introduction


Chrons Crohns Disease is associated with extraintestinal manifestation including vasculitis. Managing this group of patients is challenging due to vasculitis and microthrombosis.


 


Abstract


We reported a gentleman with Chrons Crohns Disease that presented with acute limb ischaemia. Clinically he was in pain and the toes were gangrene. He was anticoagulated but compounded by upper gastrointestinal symptoms. In view that the symptoms were augmented, intravenous iloprost infusion was given for 5 days. Digital substraction angiography shows thrombosis of the left superficial femoral artery, with small collaterals. There was long segment deep vein thrombosis from common femoral to popliteal vein. He went for a transmetartasal amputation, however the healing was poor. He was given autologous bone marrow mononuclear cells (first injection) and autologous bone marrow mesenchymal stem cell (second injection). Follow-up showsed good resolution.


 


Conclusion


Autologous bone marrow therapy is a good option after all the options have been exhausted in managing Chrons Disease patients with limb ischaemia.

Article Details

How to Cite
S H, Chua et al. PP 67 Results Of Autologous Bone Marrow Mononuclear Cells In The Treatment For Acute Limb Ischaemia In A Patient With Crohns Disease. Malaysian Journal of Emergency Medicine, [S.l.], v. 1, n. 2, p. 61, dec. 2016. ISSN 2289-6147. Available at: <http://m-jem.com/index.php/mjem/article/view/134>. Date accessed: 22 july 2017.
Section
Poster Presentation