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

Suhas Udgirkar
Shubham Jain
dr.shubhamjazz@gmail.com (Primary Contact)
DM Gastroenterology
Sanjay Chandnani
Pravin M. Rathi
Qais Contractor
Rima Kamat
PDF

Abstract

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.

Keywords:

Gastrointestinal amyloidosis Gastrointestinal hemorrhage Hemospray
Table of Contents
Udgirkar, S., Jain, S., Chandnani, S. ., Rathi, P. M. ., Contractor, Q. ., & Kamat, R. . (2021). Non-variceal upper gastrointestinal bleed as first presentation of primary systemic amyloidosis – A case report. International Journal of Health Sciences, 15(4), 50–52. Retrieved from https://pub.qu.edu.sa/index.php/journal/article/view/4625

Authors who publish with this journal agree to the following terms:

    1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

    1. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

  1. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
Copyright and license info is not available
Author biographies is not available.