Description of Event or Problem · 1
FINAL ANATOMIC DIAGNOSIS: FIFTY-SIX YEAR OLD MALE W/ HX OF AML (TRANSFORMED FROM AGNOGENIC MYELOID METAPLASIA), S/P HLA MATCHED ALLOGENIC BONE MARROW TRANSPLANT 4/99, PRESENTED TO HOSPITAL FOR DIARRHEA, HYPOKALEMIA, AND THROMBOCYTOPENIA. HEMATOPOIETIC SYSTEM: POST-TRANSPLANT BONE MARROW: HYPOCELLULAR W/ MARKEDLY REDUCED MEGAKARYOPOIESIS. LUNGS (RT 950GMS;LT 900GMS): FUNGAL PNEUMONIA ASPERGILLUS SPECIES INVOLVING BOTH LUNGS (PREDOMINANTLY LUL,LLL,RUL,RLL. TRACHEA W/ MULTIPLE ULCERATION AND INVASIVE ASPERGILLUS SPECIES. GI SYSTEM: ASCITES, 600ML, YELLOW SEROUS. STOMACH AND SMALL BOWEL W/ MULTIPLE EROSIONS, MELENA W/IN SMALL AND LARGE BOWEL. PANCREAS: PERIPANCREATIC FAT NECROSIS AND MILD INTERSTITIAL PANCREATITIS. LIVER (2400 GMS). INTRAHEPATIC CHOLESTASIS AND MACROVESICULAR FATTY CHANGE. GU SYSTEM: KIDNEYS (RT 180GMS, LT 164 GMS.) ACUTE TUBULAR NECROSIS, RT KIDNEY SIMPLE, SIMPLE CORTICAL CYST. URINARY BLADDER: MULTIPLE ECCYMOTIC FOCI. TESTIS: (RT 44GM, LT 43GM). ASPERMATOGENESIS (SERTOLI ONLY PATTERN) PROSTATE: BENIGN HYPERTROPHY. HEART: (550 GM). LEFT VENTRICULAR HYPERTROPHY (2CM).