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

Authors

  • Suhas Udgirkar
  • Shubham Jain DM Gastroenterology
  • Sanjay Chandnani
  • Pravin M. Rathi
  • Qais Contractor
  • Rima Kamat

Keywords:

Gastrointestinal amyloidosis, Gastrointestinal hemorrhage, Hemospray

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.

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Published

2021-06-23

How to Cite

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

Issue

Section

Case report/case series