Case Report

Bone Marrow Transplantation (2004) 33, 451–453. doi:10.1038/sj.bmt.1704370 Published online 29 December 2003

Autologous blood pleurodesis for pneumothorax complicating graft-versus-host disease-related bronchiolitis obliterans

C Chadwick1, S M Marven1 and A J Vora1

1Paediatric Surgical Unit & Department of Paediatric Haematology, Sheffield Children's Hospital, Sheffield, UK

Correspondence: Dr AJ Vora, Sheffield Children's Hospital, Western Bank, Sheffield S10 1TH, UK. E-mail: ajay.vora@sch.nhs.uk

Received 9 August 2002; Accepted 23 June 2003; Published online 29 December 2003.

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Abstract

Bronchiolitis obliterans (BO) is a manifestation of chronic graft-versus-host disease (GVHD) after allogeneic haemopoietic stem cell transplantation. Complications associated with this include persistent air-leak syndromes such as pneumothorax. Many methods have been described for treating this condition, both surgical and nonsurgical. We describe an 8-year-old boy with acute lymphoblastic leukaemia complicated by chronic GVHD-related BO, and subsequent pneumothorax with persistent air leak, who was treated successfully with autologous blood pleurodesis.

Keywords:

pneumothorax, blood, pleurodesis, graft-versus-host, child

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