Perioperative management of cold agglutinin autoimmune hemolytic anemia in an older adult undergoing radical cystectomy for bladder cancer

Jordan B Southern; Prianka Bhattacharya; Marisa M Clifton; Alyssa Park; Matthew A Meissner; Ryan L Mori

doi:10.1016/j.eucr.2019.100998

Perioperative management of cold agglutinin autoimmune hemolytic anemia in an older adult undergoing radical cystectomy for bladder cancer

Urol Case Rep. 2019 Aug 13:27:100998. doi: 10.1016/j.eucr.2019.100998. eCollection 2019 Nov.

Authors

Jordan B Southern¹, Prianka Bhattacharya², Marisa M Clifton¹, Alyssa Park¹, Matthew A Meissner¹, Ryan L Mori¹

Affiliations

¹ Dept. of Urology, Geisinger, Danville, PA, USA.
² Dept. of Hematology/Oncology, Geisinger, Danville, PA, USA.

Abstract

Patients diagnosed with bladder cancer are most frequently older adults who have multiple chronic conditions. Frequently, new conditions are unmasked during preoperative evaluation for surgery such as radical cystectomy. We report the case of an 85 year old male with muscle invasive bladder cancer who was concurrently diagnosed with cold agglutinin hemolytic anemia. This case demonstrates the importance of close attention to underlying chronic conditions in older adults considering major cancer surgery and the need for multidisciplinary management in medically complex cases.

Keywords: AIHA, autoimmune hemolytic anemia; Aging; Bladder cancer; CAD, cold agglutinin disease; Hemolytic anemia; LDH, lactic acid dehydrogenase; Multiple chronic conditions; RBC, red blood cell.

Publication types

Case Reports