Non-variceal upper gastrointestinal bleed as first presentation of primary systemic amyloidosis – A case report

Autor: Udgirkar, Suhas, Jain, Shubham, Chandnani, Sanjay, Rathi, Pravin M., Contractor, Qais, Kamat, Rima
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: International Journal of Health Sciences
ISSN: 1658-7774
1658-3639
Popis: Gastrointestinal (GI) tract manifestations of amyloid deposition include diarrhea, GI hemorrhage, steatorrhea, or constipation. Here, we report an elderly female presenting with GI hemorrhage due to gastric ulceration and 4–6 polypoidal lesions with intermittent ooze in the duodenum as a first presentation of primary systemic amyloidosis. The bleed was managed with proton-pump inhibitors and hemospray application. She received chemotherapy for multiple myeloma after stabilization. A high index of suspicion is needed to diagnose amyloidosis causing GI hemorrhage.
Databáze: OpenAIRE