Korean J Gastrointest Endosc > Volume 26(4); 2003 > Article
Korean Journal of Gastrointestinal Endoscopy 2003;26(4): 220-225.
소장 대량 출혈로 발현된 유전분증 1예
울산대학교 의과대학 서울아산병원 소화기내과, *일반외과, 진단방사선과, 병리과
A Case of Amyloidosis Presenting with Massive Small Bowel Bleeding
Hye-Sook Chang, M.D., Seung-Jae Myung, M.D., Suk-Kyun Yang, M.D., Tae-Hun Kim, M.D.,
Departments of Internal Medicine, *Surgery, Radiology and Pathology,
The gastrointestinal (GI) tract is one of the commonly affected organs in amyloidosis. However, it is difficult to make a correct diagnosis of GI amyloidosis because of its varied clinical manifestation and nonspecific endoscopic findings. Moreover, GI bleeding as a presenting symptom is rare, but can be serious in some cases. Therefore, missed diagnosis and delayed management in GI amyloidosis may potentially lead to a critical outcome. We report a 51-year-old man with multiple myeloma whose major symptom was massive hematochezia due to GI amyloidosis. In our case, amyloid deposits could be distinctly visualized endoscopically in the stomach and the colon. They were manifested as submucosal hematomas in the small bowel resulting in massive bleeding that was successfully controlled with the aid of intraoperative endoscopy. (Korean J Gastrointest Endosc 2003;26:220⁣225)
Key Words: Amyloidosis, Massive small bowel bleeding, Intraoperative endoscopy
주요어: 위장관 유전분증, 소장 대량 출혈, 수술중 내시경
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