Korean J Gastroenterol.  2014 Dec;64(6):387-389. 10.4166/kjg.2014.64.6.387.

Lower Gastrointestinal Bleeding Induced by Secondary Amyloidosis

Affiliations
  • 1Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea. kokim@yu.ac.kr

Abstract

No abstract available.


MeSH Terms

Amyloidosis/complications/*diagnosis/pathology
Colitis, Ulcerative/diagnosis
Colonoscopy
Gastrointestinal Hemorrhage/*etiology
Heart Ventricles/radiography
Humans
Magnetic Resonance Imaging
Male
Middle Aged

Figure

  • Fig. 1. Endoscopic findings at initial visit. (A) Coarse mucosa with diminished colonic vasculature is noted throughout the colon. (B) Diffuse mucosal ulceration with necrotic tissue and hemorrhagic bullae are seen on descending and sigmoid colon.

  • Fig. 2. Cardiac MRI. Diffuse left ventricular wall thickening is noted on vertical long axis veiw.

  • Fig. 3. Microscopic findings of colon tissue. (A) Amorphous pinkish hyaline deposits are seen in vessel wall (H&E, ×200). (B) Congo red staining shows amorphous hyaline deposits in vessel walls (×200).

  • Fig. 4. Gross findings of surgically resected specimen. Mucosal ulcerations and hemorrhage at subserosal fat are noted without any mass-like lesions.


Reference

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