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ACG Case Rep J. 2019 Jul 25;6(7):e00103. doi: 10.14309/crj.0000000000000103. eCollection 2019 Jul.

Hepatic Sinusoidal Obstruction Syndrome in a Patient With Multiple Myeloma Treated With CyBorD.

ACG case reports journal

Tooba Tariq, John Dawdy, Sachin Goyal, Bashar Mohamad, Manmeet Singh, Milton Mutchnick, Murray Ehrinpreis

Affiliations

  1. Department of Internal Medicine, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, MI.
  2. Department of Internal Medicine, Detroit Medical Center/Wayne State University, Detroit, MI.
  3. Department of Gastroenterology, Detroit Medical Center/Wayne State University, Detroit, MI.

PMID: 31620512 PMCID: PMC6722380 DOI: 10.14309/crj.0000000000000103

Abstract

Hepatic sinusoidal obstruction syndrome (SOS) is a life-threatening state generally occurring as a complication of conditioning regimens used for hematopoietic stem cell transplant. Hepatic SOS after a standard dose of chemotherapy in malignancies is rare, and there are only a few cases in pediatric literature. We report a 56-year-old man with multiple myeloma who experienced SOS after being initiated on chemotherapy including cyclophosphamide, dexamethasone, and bortezomib and who experienced a delay in treatment with defibrotide, because it is currently approved by the Food and Drug Administration for only patients who develop SOS after hematopoietic stem cell transplant.

© 2019 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology.

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