Alcaide Noelia, Herrero César, Barrio Jesús, Atienza Ramón, Herranz María Teresa, Pérez Saborido Baltasar, Pérez-Miranda Manuel, Caro-Patón Agustín
Servicio de Aparato Digestivo, Hospital Universitario Río Hortega, Valladolid, España.
Gastroenterol Hepatol. 2011 Jun-Jul;34(6):411-4. doi: 10.1016/j.gastrohep.2011.03.018.
Gastrointestinal amyloidosis may occur as part of the systemic manifestations of primary amyloidosis or in a localized form. The symptoms and signs that may occur are numerous and nonspecific, hampering clinical suspicion when this disease has not already been diagnosed. Gastric ulcers presenting as massive bleeding are an uncommon manifestation of this disease. We report the case of a patient with primary amyloidosis who developed massive gastrointestinal bleeding complicated by an amyloid gastric ulcer. Emergency surgery was required to control the bleeding.
胃肠道淀粉样变性可能作为原发性淀粉样变性全身表现的一部分出现，也可能以局部形式出现。可能出现的症状和体征众多且缺乏特异性，在尚未诊断出这种疾病时会妨碍临床怀疑。以大量出血为表现的胃溃疡是这种疾病的一种罕见表现。我们报告了一例原发性淀粉样变性患者，该患者发生了大量胃肠道出血，并伴有淀粉样变性胃溃疡。需要进行急诊手术来控制出血。
