A case of rectal cancer in a young adult with X-linked agammaglobulinemia.

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  • Ｂｒｕｔｏｎ型無γグロブリン血症に合併した若年性直腸癌の１例

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Abstract

We experienced a case of rectal cancer in a young adult with X-linked agammaglobulinemia (XLA). The patient was a 25-year-old man who had been often suffered from respiratory infections in his childhood. After diagnosed as having XLA, he had been treated with periodic intravenous gamma globulin at the department of internal medicine in our hospital. Carcinoma of type 2 in gross appearence in the rectum presented with anemia. When he was admitted to the hospital, chronic bronchitis and bronchiectasis were associated. After treatment for respiratory infecion with antibiotics and additional gamma globulin, we performed a low anterior resection of the rectum with aseptic manipulation. Postoperatively, he received respiratory physical-therapy, antibiotics, and additional gamma globulin. Postoperative course was uneventful. We consider that the control of preoperative infection, aseptic manipulation and supplement of gamma globulin are critical for perioperative care of patients with XLA.

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