scholarly journals Duodenal Ulcer with Massive Gastrointestinal Hemorrhage as an Initial Manifestation in Multiple Myeloma with Extramedullary Disease: A Case Report

Medicina ◽  
2022 ◽  
Vol 58 (1) ◽  
pp. 134
Author(s):  
Hao-Tse Chiu ◽  
Po-Huang Chen ◽  
Hao Yen ◽  
Chao-Yang Chen ◽  
Chih-Wei Yang ◽  
...  
Keyword(s):  
Multiple Myeloma ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Bone Marrow Aspiration ◽  
Extramedullary Plasmacytoma ◽  
Solitary Plasmacytoma ◽  
Initial Manifestation ◽  
Upper Gi ◽  
Plasma Cell Neoplasms

Plasma cell neoplasms are characterized by dysregulated proliferation of mature B cells, which can present with either single (solitary plasmacytoma) or systemic (multiple myeloma (MM)) involvement. MM with extramedullary plasmacytoma (EMP) is a rare disease that accounts for approximately 3–5% of all plasmacytomas. EMP with gastrointestinal (GI) system involvement is an even rarer entity, accounting for <1% of MM cases. We present a case of aggressive MM with EMP invading the duodenum, initially presented with massive upper GI hemorrhage and small bowel obstruction. A 67-year-old woman was admitted to our hospital owing to a lack of either gas or feces passage for 3 days. Abdominal distention and vomit with a high coffee ground content were observed for 24 h. The patient’s condition was initially diagnosed as small bowel obstruction, upper gastrointestinal bleeding, severe anemia, acute renal failure, and hypercalcemia. Furthermore, an analysis of immunoelectrophoresis in the blood, bone marrow aspiration, and tissue biopsy supported the diagnosis of MM and EMP invading the duodenum, upper GI hemorrhage, and small bowel obstruction. Our study provided the possible involvement of MM and EMP in the differential diagnosis of patients with unexplained GI hemorrhage and small bowel obstruction. A thorough review of the literature regarding the association between MM, GI hemorrhage, and small bowel obstruction is presented in this study.

scholarly journals Plasmacytoma as a cause of small bowel obstruction in a virgin abdomen in a patient with multiple myeloma: a case report

2019 ◽  
Vol 13 (1) ◽  
Author(s):  
Aubrey A. Mwinyogle ◽  
Astha Bhatt ◽  
Katarina Kapisoda ◽  
Justin Somerville ◽  
Steven C. Cunningham
Keyword(s):  
Multiple Myeloma ◽  
Case Report ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction

Solitary Extramedullary Multiple Myeloma Presenting with Small Bowel Obstruction

2016 ◽  
Vol 50 (1) ◽  
pp. e25-e27
Author(s):  
Harika Tirumani ◽  
Sree Harsha Tirumani ◽  
Nikhil H. Ramaiya ◽  
Nikhil C. Munshi
Keyword(s):  
Multiple Myeloma ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction

scholarly journals Duodenal Diverticular Perforation after Small Bowel Obstruction: A Case Report

2018 ◽  
Vol 2018 ◽  
pp. 1-4 ◽  
Author(s):  
Khuram Khan ◽  
Saqib Saeed ◽  
Haytham Maria ◽  
Mohammed Sbeih ◽  
Farhana Iqbal ◽  
...  
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Rare Case ◽  
Surgical Intervention ◽  
Nonoperative Management ◽  
Duodenal Diverticulum ◽  
Retroperitoneal Abscess ◽  
Case Presentation ◽  
Upper Gi

Introduction. Duodenal diverticulum is a rare disease that can be easily missed. The incidence of duodenal diverticulum diagnosed by upper GI study is approximately 5%. Autopsy results show that 22% of the population have duodenum diverticulum. Most patients with duodenal diverticulum are asymptomatic. However, complications like inflammation, perforation with retroperitoneal abscess, sepsis, pancreatitis, bile duct obstruction, and bleeding can occur. Approximately 162 cases of perforated duodenal diverticulum have been reported in the literature. Case Presentation. We present a rare case of an 82-year-old female with perforation of a duodenal diverticulum caused by small bowel obstruction; in addition to this, there was a synchronous colonic tumor. Conclusion. Diagnosis and management of this rare disorder are controversial. Nonoperative management is advocated in some cases. Some of the cases require early aggressive surgical intervention. The mortality rate remains approximately 45% in all these patients.

scholarly journals Solitary Jejunal Metastasis from Carcinoma Pyriform Fossa presenting as Intestinal Obstruction

2014 ◽  
Vol 4 (1) ◽  
pp. 36-39
Author(s):  
Kalpana Sharma
Keyword(s):  
Small Bowel ◽  
Intestinal Obstruction ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Initial Manifestation ◽  
Primary Tumors ◽  
Pyriform Fossa ◽  
Small Bowel Metastases ◽  
First Case ◽  
Jejunal Metastasis

ABSTRACT Metastatic involvement of small intestine from a head and neck primary is a rare occurrence and carries an unfavourable prognosis. Small bowel metastases usually present with obstruction, perforation or bleeding. Small bowel obstruction due to a metastatic stricture is uncommon and mostly occurs as part of generalized carcinomatosis. Rarely, it selectively affects in the form of a solitary malignant stricture. We report the first case in medical literature of a patient presenting with small bowel obstruction due to a solitary malignant jejunal stricture caused by metastasis from a primary squamous cell carcinoma of the pyriform fossa, four years after the primary tumor was diagnosed and treated with radiotherapy. To the best of our knowledge, there are no reports of primary tumors of hypopharynx metastasizing to jejunum and presenting antemortem. The rarity of intestinal obstruction as an initial manifestation of metastatic dissemination of a hypopharyngeal malignancy as well as its poor prognosis has been discussed. How to cite this article Sharma K. Solitary Jejunal Metastasis from Carcinoma Pyriform Fossa presenting as Intestinal Obstruction. Int J Phonosurg Laryngol 2014;4(1):36-39.

scholarly journals Extramedullary Relapse of Multiple Myeloma Presenting as Mechanical Small Bowel Obstruction: A Case Report

2015 ◽  
Vol 88 (3) ◽  
pp. 330
Author(s):  
Myung-Won Lee ◽  
Ji-Young Moon ◽  
Hea-Won Rhu ◽  
Yoon-Seok Choi ◽  
Ik-Chan Song ◽  
...  
Keyword(s):  
Multiple Myeloma ◽  
Case Report ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Extramedullary Relapse

Small Bowel Obstruction in Children: Usefulness of CT for Diagnosis and Localization

2007 ◽  
Vol 57 (6) ◽  
pp. 571
Author(s):  
Young Cheol Lee ◽  
Young Tong Kim ◽  
Won Kyung Bae ◽  
Il Young Kim
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction

An Uncommon An Uncommon Cause of Acute Abdomen in Underprivileged Communities

2019 ◽  
Vol 8 (2) ◽  
Author(s):  
David Muchuweti ◽  
Hopewell Mungani ◽  
Hopewell Mungani ◽  
Farai Mahomva ◽  
Edwin Gamba Muguti ◽  
...  
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Acute Abdomen ◽  
Bowel Obstruction ◽  
Bowel Wall ◽  
Haemodynamic Instability ◽  
Small Bowel Volvulus ◽  
General Surgeons ◽  
Heavy Infestation ◽  
Emergency Abdominal Surgery

Oftentimes general surgeons working in poorly resourced communities carry out emergency abdominal surgery in patients with acute abdomen with no definitive preoperative diagnosis. The definitive diagnosis is made at laparotomy. Perforated small bowel obstruction secondary to heavy Infestation with Ascaris Lumbricoides brings a number of intraoperative challenges requiring correct intraoperative surgical management decisions. We present a case of a 17 year-old patient who was admitted with a diagnosis of small bowel obstruction who at laparotomy was found to have perforated gangrenous small bowel volvulus with heavy worm load visible through the bowel wall. Because of faecal peritoneal contamination and haemodynamic instability she underwent a two staged procedure with good outcome.

Sign in / Sign up

Export Citation Format

Share Document