[A case of systemic amyloidosis presenting with gastric emphysema].

Autor: Muto M; Department of Internal Medicine, Engaru Kosei General Hospital., Izumi K; Department of Internal Medicine, Engaru Kosei General Hospital., Fujii H; Department of Internal Medicine, Engaru Kosei General Hospital., Goto M; Department of Internal Medicine, Engaru Kosei General Hospital., Tachibana S; Division of Metabolism, Systemic Bioscience, Gastroenterology, and Hematology/Oncology, Department of Medicine, Asahikawa Medical University., Ikeda J; Department of Internal Medicine, Engaru Kosei General Hospital., Muto M; Department of Internal Medicine, Engaru Kosei General Hospital., Yanagawa N; Department of Internal Medicine, Engaru Kosei General Hospital.
Jazyk: japonština
Zdroj: Nihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology [Nihon Shokakibyo Gakkai Zasshi] 2023; Vol. 120 (3), pp. 250-255.
DOI: 10.11405/nisshoshi.120.250
Abstrakt: The patient was an elderly woman in her 80s. Upper and lower gastrointestinal endoscopies were conducted as a thorough analysis for cardiac amyloidosis, revealing no abnormal findings. A mucosal biopsy, however, resulted in an amyloid AA-type amyloidosis diagnosis. About 2 months later, she visited our department with sudden vomiting and epigastric pain onset. Plain abdominal radiography and computed tomography demonstrated gastric emphysema, and thus, she was admitted to our department. The gastric emphysema was alleviated with conservative treatment. Herein, we report a valuable case in which gastric emphysema manifested as a gastrointestinal tract lesion of amyloidosis.
Databáze: MEDLINE