Acute small bowel pseudo-obstruction due to AL amyloidosis: a case report and literature review.
Amyloidosis may uncommonly present with intestinal pseudo-obstruction. Previous reports have described an acute presentation with AA amyloid and a more chronic syndrome with AL amyloid. We report the case of a 78-yr-old man who presented with clinical and radiographic features of an acute small bowel obstruction and who, at laparotomy, was found to have intestinal pseudo-obstruction due to AL amyloidosis. We believe this case represents the first report of acute pseudo-obstruction from AL amyloidosis; awareness of this presentation may facilitate earlier diagnosis.
Koppelman
R N
RN
Division of Gastroenterology, University of Miami School of Medicine, Florida, USA.
Stollman
N H
NH
Baigorri
F
F
Rogers
A I
AI
D000208:Acute Disease; D000368:Aged; D000682:Amyloid / Q000378:metabolism*; D000686:Amyloidosis / Q000150:complications* / Q000378:metabolism / Q000473:pathology; D006801:Humans; D007418:Intestinal Pseudo-Obstruction / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D007421:Intestine, Small / Q000000981:diagnostic imaging / Q000473:pathology; D008297:Male; D009101:Multiple Myeloma / Q000150:complications / Q000175:diagnosis; D011859:Radiography
D000682:Amyloid; C035222:amyloid protein AL