Gastric Outlet Obstruction Due to Gastric Amyloidosis Mimicking Malignancy in a Patient with Ankylosing Spondylitis.
- Author:
Choon Sik SEON
1
;
Young Sook PARK
;
Yu Min JUNG
;
Jeong Ho CHOI
;
Byoung Kwan SON
;
Sang Bong AHN
;
Seong Hwan KIM
;
Yun Ju JO
Author Information
1. Department of Internal Medicine, Eulji University School of Medicine, Seoul, Korea. pys1109@eulji.ac.kr
- Publication Type:Case Report
- Keywords:
Gastrointestinal amyloidosis;
Spondylitis, ankylosing;
Linitis plastica
- MeSH:
Amyloidosis*;
Amyloidosis, Familial;
Diarrhea;
Gastrectomy;
Gastric Outlet Obstruction*;
Hemorrhage;
Humans;
Linitis Plastica;
Pneumonia, Aspiration;
Spondylitis, Ankylosing*;
Ulcer
- From:Clinical Endoscopy
2013;46(6):651-655
- CountryRepublic of Korea
- Language:English
-
Abstract:
Amyloidosis is a group of disorders characterized by the extracellular accumulation of insoluble, fibrillar proteins in various organs and tissues. It is classified, on the basis of the identity of the precursor protein, as primary, secondary, or familial amyloidosis. Gastrointestinal amyloidosis usually presents as bleeding, ulceration, malabsorption, protein loss, and diarrhea. However, gastric amyloidosis with gastric outlet obstruction mimicking linitis plastica is rare. We report a case of gastrointestinal amyloidosis with gastric outlet obstruction in a patient with ankylosing spondylitis. The patient was indicated for subtotal gastrectomy because of the aggravation of obstructive symptoms, but refused the operation and was transferred to another hospital. Three months later, the patient died of aspiration pneumonia during medical treatment.
