Korean Journal of Gastrointestinal Endoscopy 1999;19(5): 829-833.
대장의 점막하 혈종과 출혈을 동반한 전신성 유전분증 1예 ( A Case of Primary Systemic Amyloidosis Presenting Submucosal Hematoma and Bleeding in the Lower Gastrointestinal Tract )
유효민(Hyo Min Yoo),김원호(Woo Ho Kim),조용석(Yong Seok Cho),정배기(Bai Gi Jung),문영명(Young Myoung Moon),박인서(In Suh Park)
Abstract
A case of systemic amyloidosis involving the upper and lower gastrointestinal tract is presented. The initial manifestation of this case was bloody diarrhea. On colonoscopy, multiple submucosal hematomas and irregular ulcerations of the sigmoid and descending colon were found. The pathologic diagnosis was confirmed by an endoscopic mucosal biopsy of the gastrointestinal tract and the specimen revealed massive amyloid deposits in the wall of the upper and lower intestinal tract. With intensive medical treatment, the submucosal hematoma disappeared and the ulcerations decreased in size. However, on the 29th day, the patient was expired due to unexpected sepsis. (Korean J Gastrointest Endosc 19: 829∼833, 1999)
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