12/2/2013 |
Thyroidectomy with postoperative hematoma requiring evacuation and JP drain. |
12/19/2013 |
Admitted for re-evacuation of neck hematoma, DDAVP administered with cessation of bleeding. |
5/2014 |
Admitted for severe mucosal bleeding after dental procedure. Required platelets, FFP, DDAVP, Humate-P, and aminocaproic acid. Bleeding diathesis workup inconclusive. |
10/2014 |
Admitted with abdominal pain and massive hepatosplenomegaly. Coagulopathy workup established factor VII deficiency. Transjugular biopsy of liver obtained with prophylactic rFVIIa administered. Liver biopsy revealed AL-amyloidosis-Kappa type. |
11/2014 |
Admitted for bleeding at transjugular biopsy site and retroperitoneal hematoma. Hemorrhage was controlled with rFactor VIIa infusions. |
12/2015-8/2016 |
Received treatment for AL-amyloidosis-Kappa type with bortezomib, dexamethasone, and cyclophosphamide, and later with colchicine and prednisone without improvement in hepatic function. Developed complications from cirrhosis including GI bleeding and SBP. Eventually succumbed to uncontrolled upper GI hemorrhage. |