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CML blast crisis resulting in biliary obstruction following BMT

Abstract

Allogeneic BMT is the treatment of choice for various hematologic malignancies. Despite careful patient scrutiny, a large number of patients experience significant morbidity and mortality due to procedure-related toxicity. Hepatobiliary toxicity presenting as biliary cholestasis, due to the preparative regimen (ie veno- occlusive disease), supportive pharmaceuticals, and/or GVHD have been implicated. We report a unique cause of cholestasis in a patient undergoing BMT for CML. The cholestasis was found to be secondary to relapsed leukemia, which resulted in a granulocytic sarcoma obstructing the biliary ductal system.

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Fleming, D., Slone, S. CML blast crisis resulting in biliary obstruction following BMT. Bone Marrow Transplant 19, 853–854 (1997). https://doi.org/10.1038/sj.bmt.1700748

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  • DOI: https://doi.org/10.1038/sj.bmt.1700748

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