Amyloidosis-induced Lower Gastrointestinal Bleeding in a Patient with Multiple Myeloma
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概要
- 論文の詳細を見る
We reported a case of gastrointestinal amyloidosis associated with multiple myeloma (MM), presenting with an unusual abdominal condition causing right upper abdominal pain and hematochezia. An abdominal examination revealed a huge tender mass below the right costal margin. A barium enema examination demonstrated a filling defect in the transverse colon and abdominal computed tomography disclosed an inhomogeneous mass. There was no evidence of thrombocytopenia or a coagulation factor deficiency. A surgical specimen showed deposit of amyloid substance in the colon. As this case illustrates, the absence of systemic symptoms of amyloidosis and nonspecific radiological findings in gastrointestinal amyloidosis may make the diagnosis difficult. Therefore, we recommend that a diagnosis of amyloidosis-induced bleeding of the colon should be considered in patients with multiple myeloma with obscure hemorrhaging.
- 川崎医科大学の論文
著者
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INADA Hiroshi
Department of Precision Engineering, Graduate School of Engineering, The University of Tokyo
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TSUNODA TSUKASA
Department of Gastroenterological Surgery, Kawasaki Medical School
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Tsunoda T
Department Of Gastroenterological Surgery Kawasaki Medical School
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Tsunoda Tsukasa
公立みつぎ総合病院
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Tsunoda Tsukasa
Division Of Gastroenterological Surgery Department Of Surgery Kawasaki Medical School
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Tsunoda Tsukasa
長崎大学 第2外科
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IKI KATSUMICHI
Department of Gastroenterological Surgery, Kawasaki Medical School
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HAYASHI JIRO
Department of Gastroenterological Surgery, Kawasaki Medical School
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SATOH Masataka
Department of Surgery, Satoh Memorial Hospital
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Hayashi Jiro
Department Of Gastroenterological Surgery Kawasaki Medical School
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Inada H
Department Of Surgery Satoh Memorial Hospital
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Inada Hiroshi
Department Of Applied Chemistry Graduate School Of Engineering Osaka University
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Satoh Masataka
Department Of Cardiovascular Surgery Tsukuba University Hospital
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Satoh Masataka
Department Of Surgery Satoh Memorial Hospital
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Iki Katsumichi
Department Of Gastroenterological Surgery Kawasaki Medical School
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Tsunoda Tsukasa
Department Of Gastroenterological Surgery
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Inada Hiroshi
Department Of Applied Chemistry Faculty Of Engineering Osaka University
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