Korean J Nephrol.
2003 Sep;22(5):590-596.
2 Cases of Gastrointestinal Amyloidosis Presenting Massive Gastrointestinal Bleeding in Predialytic Chronic Renal Failure Patients
- Affiliations
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- 1Department of Internal Medicine Nephrology, College of Medicine, Chung-Ang University, Seoul, Korea. intmdoh@hanmail.net
- 2Department of Pathology, College of Medicine, Chung-Ang University, Seoul, Korea.
Abstract
- A case of a 42-year-old man who had massive and refractoty bleeding from multiple gastric ulcers complicating gastric amyloidosis and a case of a 62- year-old woman who had massive hematochezia from rectal amyloidosis in predialytic chronic renal failure patients are reported. Emergency total gastrectomy and simple ligation were performed in two patients. Two patients were confirmed by showing apple green birefringence under the polarized microscope with Congo-red stain through stomach and rectal specimen. Immunoelectrophoresis and protein electrophoresis of serum and urine showed no significant findings. 2 cases of gastrointestinal amyloidosis presenting massive bleeding in predialytic chronic renal failure patients were discussed with brief literature.
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