SavedAdd your journal

Journals / Turkish Journal of Gastroenterology / 2018 / Cilt: 29 - Sayı: 1

A case of multiple myeloma initially presenting as hematemesis

Hai-Bo ZHOU
Pages
108–111
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

A diagnosis of amyloidosis-induced hematemesis should be considered in patients with multiple myeloma.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:A few cases of multiple myeloma with gastrointestinal bleeding have been reported, but hematemesis is rarely encountered as an ini-tial symptom of multiple myeloma.
📊
Key Findings & Data:Here we report a case of multiple myeloma with an initial symptom of hematemesis.
💡
Conclusion & Impact:A diagnosis of amyloidosis-induced hematemesis should be considered in patients with multiple myeloma.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Özet

A few cases of multiple myeloma with gastrointestinal bleeding have been reported, but hematemesis is rarely encountered as an ini-tial symptom of multiple myeloma. Here we report a case of multiple myeloma with an initial symptom of hematemesis. Gastroscopy revealed ulceration in the angulus of the stomach. Colonoscopy revealed many ulcers in the ascending colon. A definite diagnosis of gastrointestinal amyloidosis was made using tissue biopsy. A definite diagnosis of multiple myeloma was made using bone marrow puncture. Hematemesis may be an initial symptom of multiple myeloma. A diagnosis of amyloidosis-induced hematemesis should be considered in patients with multiple myeloma.

🔖

Cite This Article

ZHOU, H. (2018). A case of multiple myeloma initially presenting as hematemesis. Turkish Journal of Gastroenterology, Cilt: 29 - Sayı: 1, 108–111. https://ajindex.com/articles/409309

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (14)

  1. Hokama A, Kishimoto K, Nakamoto M, et al. Endoscopic and histopathological features of gastrointestinal amyloidosis. World J Gastrointest Endosc 2011
  2. [CrossRef] 13. Katoh N, Matsuda M, Ikeda S. Clinical, endoscopic, and histo-pathological features of localized immunoglobulin light chain (AL) amyloidosis in the gastrointestinal tract. Amyloid 2015
  3. [CrossRef] 12. Madsen LG, Gimsing P, Schiødt FV. Primary (AL) amyloidosis with gastrointestinal involvement. Scand J Gastroenterol 2009
  4. [CrossRef] 11. Hokama A, Kishimoto K, Nakamoto M, et al. Endoscopic and histopathological features of gastrointestinal amyloidosis. World J Gastrointest Endosc 2011
  5. [CrossRef] 10. Nay J, Menias CO, Mellnick VM, Balfe DM. Gastrointestinal man-ifestations of systemic disease: a multimodality review. Abdom Im-aging 2015
  6. [CrossRef] 9. Wixner J, Sundström T, Karling P, Anan I, Suhr OB. Outcome of gastric emptying and gastrointestinal symptoms after liver trans-plantation for hereditary transthyretin amyloidosis. BMC Gastroen-terol 2015
  7. [CrossRef] 8. Yamada M, Hatakeyama S, Tsukagoshi H. Gastrointestinal amy-loid deposition in AL (primary or myeloma-associated) and AA (sec-ondary) amyloidosis: diagnostic value of gastric biopsy. Hum Pathol 1985
  8. [CrossRef] 7. Singh K, Chapalamadugu P, Malet P. Upper gastrointestinal bleeding due to amyloidosis in a patient with multiplemyeloma. Clin Gastroenterol Hepatol 2016
  9. A22-3. [CrossRef] 6. Lin M, Zhu J, Shen H, Huang J. Gastrointestinal bleeding as an ini-tial manifestation in asymptomatic multiple myeloma: A case report and review of the literature. Oncol Lett 2013
  10. [CrossRef] 5. Güngör G, Göktepe MH, Kayaçetın E, Tuna T, Esen H, Demır A. Atypical gastrointestinal plasmacytomas presenting with gastroin-testinal bleeding in a patient with multiple myeloma. Turk J Gastro-enterol 2012
  11. [CrossRef] 4. Chang SS, Lu CL, Tsay SH, Chang FY, Lee SD. Amyloidosis-induced gastrointestinal bleeding in a patient with multiple myeloma. J Clin Gastroenterol 2001
  12. [CrossRef] 3. Kim H, Jee SR, Lee SB, et al. A case of secondary amyloidosis pre-senting as massive gastrointestinal bleeding. Korean J Gastroenter-ol 2006
  13. Lim AY, Lee JH, Jung KS, et al. Clinical features and outcomes of sys-temic amyloidosis with gastrointestinal involvement: a single-center experience. Korean J Intern Med 2015
  14. [CrossRef] 1. Glenne