Amyloidosis presenting as a perforated giant colonic diverticulum.
Colonic amyloidosis is frequent, although rarely radiographically evident. The radiological findings are varied and unspecific. We report a case of perforated giant colonic diverticulum (GCD) diagnosed by helical CT in which amyloid deposition was pathologically demonstrated. The patient was a renal transplant recipient who previously had undergone hemodialysis for 10 years. A possible role of amyloidosis in the pathogenesis of this case is discussed. Giant colonic diverticulum must be included in the spectrum of gastrointestinal manifestations of amyloidosis.
Díaz Candamio
M J
MJ
Servicio de Radiología, Hospital Juan Canalejo, La Coruña, Spain.
Pombo
F
F
Yebra
M T
MT
D000368:Aged; D000686:Amyloidosis / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D001706:Biopsy; D003082:Colectomy; D003937:Diagnosis, Differential; D004241:Diverticulum, Colon / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D011860:Radiography, Abdominal; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed