Open Access Case report

Intraarticular hemorrhage due to bevacizumab in a patient with metastatic colorectal cancer: a case report

Mukremin Uysal*, Sema S Goksu, Hasan S Coskun, Burhan Savas, Mustafa Ozdogan and Hakan Bozcuk

Author Affiliations

Department of Medical Oncology, Akdeniz University Faculty of Medicine, Antalya, Turkey

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Journal of Medical Case Reports 2012, 6:188 doi:10.1186/1752-1947-6-188

Published: 9 July 2012

Abstract

Introduction

Bevacizumab is a monoclonal antibody against vascular endothelial growth factor. It is widely used in the treatment of metastatic colorectal cancer. It has some specific side effects including severe bleeding, wound healing problems, gastrointestinal perforation, proteinuria and hypertension.

Case presentation

We present the case of a 65-year old Asian man with synovial metastasis of the knee who experienced intraarticular hemorrhage after bevacizumab treatment. He presented with monoarthritis of the left knee.

Conclusion

Bevacizumab-related hemorrhage can cause serious morbidity and unusual sites of hemorrhage may be seen.

Keywords:
Bevacizumab; Colorectal cancer; Synovial metastasis; Intaarticular hemorrhage