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.
St. Franciscus Gasthuis, Department of Internal Medicine, Rotterdam, The Netherlands.
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Zanen
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Rietveld
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Tjen
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*