A Case of AL Amyloidosis with Renal Rupture

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概要

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• We report a 59-year-old woman with AL amyloidosis who presented with massive bleeding from the right kidney, in whom emergency surgery proved to be life saving. The patient had been diagnosed as having AL amyloidosis 16 years previously. After 5 years, hemodialysis had been initiated. In 2007, a large right-sided perinephric, intracapsular hematoma was detected. Right nephrectomy was performed and the patient recovered with no sequelae. Histopathological examination revealed a greater degree of amyloid deposition in the resected kidney than that at the time of diagnosis. Amyloid angiopathy may promote bleeding.

著者

• Honda Kazuho

  Department Of Medicine Kidney Center Tokyo Women's Medical College

• Kawanishi Kunio

  Department of Medicine, Kidney Center, Tokyo Womens Medical University

• Kojima Chiari

  Department Of Internal Medicine Iv Tokyo Women's Medical University

• Takei Takashi

  Department Of Applied Chemistry Graduate School Of Engineering Tokyo Metropolitan University

• Nitta Kosaku

  Department Iv Of Internal Medicine Tokyo Women's Medical University

• Arai Junko

  Department Of Medicine Iv Tokyo Women's Medical University

• Yamashita Tetsuri

  Department Of Medicine Kidney Center Tokyo Women's Medical University

• Itabashi Mitsuyo

  Department of Internal Medicine IV, Tokyo Women's Medical University

• Iwabuchi Yuko

  Department of Medicine, Kidney Center, Tokyo Women's Medical University

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