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[Rare cause of gastrointestinal bleeding].
Dtsch Med Wochenschr 2019; 144(21):1505-1508DM

Abstract

HISTOLOGY AND CLINICAL FINDINGS

We report on a 66-year-old-patient with plasmocytoma, who presented with melena since 3 days, dyspnea and dizzyness.

INVESTIGATION AND DIAGNOSIS

Because of the laboratory and clinical examination the suspected diagnosis was an active gastrointestinal bleeding. The performed gastroduodenoscopy and sigmoidoscopy could not verify an active bleeding. Thus a contrast-enhanced computed tomography was performed additionally and showed abnormal enhancement as well as a ballooning of the proximal jejunum. Subsequently a jejunoscopy was performed where an actively bleeding mass was found.

TREATMENT AND COURSE

Due to the known medical history of a plasmocytoma and in conjunction with the performed examinations the suspected diagnosis of an extramedullary metastasis of a plasmocytoma in the jejunum was made. Since only temporary control of the bleeding could be achieved, a segmental resection of the small bowel was performed. The following histological examination confirmed the diagnosis.

CONCLUSION

The differential diagnosis for gastrointestinal bleeding includes also rarely neoplastic manifestations in the small bowel. Contrast-enhanced computed tomography can aide in the localization of the bleeding side and determination of the cause of hemorrhage.

Authors+Show Affiliations

Abteilung für Diagnostische und Interventionelle Radiologie und Neuroradiologie, Klinikum Augsburg.Abteilung für Diagnostische und Interventionelle Radiologie und Neuroradiologie, Klinikum Augsburg.Abteilung für Diagnostische und Interventionelle Radiologie und Neuroradiologie, Klinikum Augsburg.

Pub Type(s)

English Abstract
Journal Article

Language

ger

PubMed ID

31634928

Citation

Rollandi, Ludovica-Paola, et al. "[Rare Cause of Gastrointestinal Bleeding]." Deutsche Medizinische Wochenschrift (1946), vol. 144, no. 21, 2019, pp. 1505-1508.
Rollandi LP, Kasper J, Schaller T. [Rare cause of gastrointestinal bleeding]. Dtsch Med Wochenschr. 2019;144(21):1505-1508.
Rollandi, L. P., Kasper, J., & Schaller, T. (2019). [Rare cause of gastrointestinal bleeding]. Deutsche Medizinische Wochenschrift (1946), 144(21), pp. 1505-1508. doi:10.1055/a-0969-7171.
Rollandi LP, Kasper J, Schaller T. [Rare Cause of Gastrointestinal Bleeding]. Dtsch Med Wochenschr. 2019;144(21):1505-1508. PubMed PMID: 31634928.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Rare cause of gastrointestinal bleeding]. AU - Rollandi,Ludovica-Paola, AU - Kasper,Judith, AU - Schaller,Tina, Y1 - 2019/10/21/ PY - 2019/10/22/entrez PY - 2019/10/22/pubmed PY - 2019/10/22/medline SP - 1505 EP - 1508 JF - Deutsche medizinische Wochenschrift (1946) JO - Dtsch. Med. Wochenschr. VL - 144 IS - 21 N2 - HISTOLOGY AND CLINICAL FINDINGS: We report on a 66-year-old-patient with plasmocytoma, who presented with melena since 3 days, dyspnea and dizzyness. INVESTIGATION AND DIAGNOSIS: Because of the laboratory and clinical examination the suspected diagnosis was an active gastrointestinal bleeding. The performed gastroduodenoscopy and sigmoidoscopy could not verify an active bleeding. Thus a contrast-enhanced computed tomography was performed additionally and showed abnormal enhancement as well as a ballooning of the proximal jejunum. Subsequently a jejunoscopy was performed where an actively bleeding mass was found. TREATMENT AND COURSE: Due to the known medical history of a plasmocytoma and in conjunction with the performed examinations the suspected diagnosis of an extramedullary metastasis of a plasmocytoma in the jejunum was made. Since only temporary control of the bleeding could be achieved, a segmental resection of the small bowel was performed. The following histological examination confirmed the diagnosis. CONCLUSION: The differential diagnosis for gastrointestinal bleeding includes also rarely neoplastic manifestations in the small bowel. Contrast-enhanced computed tomography can aide in the localization of the bleeding side and determination of the cause of hemorrhage. SN - 1439-4413 UR - https://www.unboundmedicine.com/medline/citation/31634928/[Rare_cause_of_gastrointestinal_bleeding] L2 - http://www.thieme-connect.com/DOI/DOI?10.1055/a-0969-7171 DB - PRIME DP - Unbound Medicine ER -