Cholesterol-embolism: diagnosis by endoscopy.
A case report is presented, concerning a 68-year-old woman, with gastro-intestinal complaints, six weeks after an aortic arteriography. On gastroscopy a duodenal ulcer was found and multiple purple discolourations. Biopsies show that these discolourations were caused by cholesterol-emboli. As the patient's complaints resided quickly after treatment for duodenal ulcer, the cholesterol-emboli can be seen as incidental findings. The gastroscopical biopsies were an important clue to the diagnosis of the cause of the rapid progressive renal failure in this patient.
Zanen
A L
AL
St. Franciscus Gasthuis, Department of Internal Medicine, Rotterdam, The Netherlands.
Rietveld
A P
AP
Tjen
H S
HS
D058186:Acute Kidney Injury / Q000209:etiology; D000368:Aged; D001706:Biopsy; D004381:Duodenal Ulcer / Q000150:complications / Q000175:diagnosis; D017700:Embolism, Cholesterol / Q000150:complications / Q000175:diagnosis*; D005260:Female; D005753:Gastric Mucosa / Q000473:pathology; D005773:Gastroscopy; D006801:Humans; D013272:Stomach Diseases / Q000150:complications / Q000175:diagnosis*