A Case of Gastrointestinal Amyloidosis Presenting with Hematochezia.
- Author:
Joung Muk LEEM
1
;
Jae Hong CHOI
;
Nam Gyu PARK
;
Hee Bok CHAE
;
Seon Mee PARK
;
Sei Jin YOUN
;
Ro Hyun SUNG
;
Kil Sun PARK
Author Information
1. Division of Gastroenterology, Department of Internal Medicine, Chungbuk National University College of Medicine, Cheong-Ju, Chung-buk, Korea. sjyoun@med.chungbuk.ac.kr
- Publication Type:Case Report
- Keywords:
Gastric;
Small bowel and colonic amyloidosis
- MeSH:
Abdominal Pain;
Aged;
Amyloid;
Amyloidosis*;
Biopsy;
Birefringence;
Congo Red;
Diagnosis;
Diarrhea;
Female;
Gastrointestinal Hemorrhage*;
Humans;
Metabolism;
Plaque, Amyloid;
Tomography, X-Ray Computed
- From:Korean Journal of Gastrointestinal Endoscopy
2002;25(1):38-42
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Amyloidosis is a disorder of protein metabolism that leads to extracellular deposition of amyloid in tissues and organs. Multiple organ dysfunction can be induced by deposition of amyloid. Diagnosis is established by histologic demonstration of amyloid protein in involved tissue using Congo red staining. A 72 year-old woman was admitted due to mild abdominal pain, diarrhea and hematochezia. Duodenoscopic and colonoscopic findings were nonspecific, however, multiple biopsies showed amyloid deposits characterized by green birefringence under polarized light. The findings of small bowel series and abdominal CT were compatible with amyloidosis. We experienced a case of amyloidosis with involvement of the whole bowel.
