Abstract
We report a rare case of upper gastrointestinal bleeding in a 55-year-old man with monoclonal gammopathy of unknown significance presenting with abdominal pain, weight loss and melaena. Gastroscopy was unremarkable, but melaena persisted, with the development of symptomatic anaemia. While colonoscopy excluded a lower gastrointestinal aetiology, CT revealed jejunitis, confirmed at capsule endoscopy. Histopathological examination of specimens obtained at single balloon enteroscopy revealed an unusual aetiology: small bowel AL-amyloidosis. We review his clinical presentation, radiological, endoscopic and histological findings and review the literature of this unusual condition.
Original language | English |
---|---|
Article number | A479 |
Journal | BMJ case reports |
Volume | 2016 |
Early online date | 26 Oct 2016 |
DOIs | |
Publication status | Published - 2016 |
ASJC Scopus subject areas
- General Medicine