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A CASE OF SECONDARY AMYLOIDOSIS CAUSING INTESTINAL OBSTRUCTION

A CASE OF SECONDARY AMYLOIDOSIS CAUSING INTESTINAL OBSTRUCTION

Authors :
Yasuhiko Fukuda
Takafumi Oshiro
Tsuguo Fujitaka
Toshiyuki Itamoto
Tsuneo Tanaka
Tetsuo Ishikawa
Source :
Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association). 60:1837-1841
Publication Year :
1999
Publisher :
Japan Surgical Association, 1999.

Abstract

We experienced a case of secondary amyloidosis causing intestinal obstruction. An 81-year-old woman, having an underlying disease of rheumatoid arthritis, was admitted to the hospiatal because of bloody diarrhea, vomiting, abdominal pain and fever elevation. An emergency laparotomy was carried out under a diagnosis of intestinal obstruction due to ischemic enteritis, and extended dilatation and multiple ulcers of the ileum were found. Partial resection of the ileum was performed. Histopathological examination revealed AA amyloidosis. Emergency surgery for amyloidosis of the gastrointestinal tract is rare, with only 18 reported cases in Japan so far. At operation, most patients with amyloidosis already have deposited amyloid proteins to multiple organs, so that their prognoses are very poor.

Details

ISSN :
18825133 and 13452843
Volume :
60
Database :
OpenAIRE
Journal :
Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
Accession number :
edsair.doi...........0cf39a5331d4754e87e3ec84eda78322
Full Text :
https://doi.org/10.3919/jjsa.60.1837