Journal List > Korean J Gastroenterol > v.68(1) > 1007600

Um, Kim, Jung, Cho, and Kang: A Case of Amyloidosis Presenting as Chronic Cholecystitis, Misdiagnosed as Polymyalgia Rheumatica

Abstract

Amyloidosis is a rare disease defined by extracellular deposits of amorphous fibrillar proteins, derived from aggregations of misfolded proteins. Localization of amyloidosis in the gallbladder is uncommon; only eight cases have been reported. We describe a case of amyloidosis diagnosed by cholecystectomy, which possibly also affected the liver and kidney. The patient was misdiagnosed with polymyalgia rheumatica, but after a cholecystectomy to treat chronic cholecystitis, we ultimately diagnosed him with amyloidosis. We review amyloidosis with gallbladder involvement in the literature.

References

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Fig. 1.
Chest CT showed gallbladder (GB) wall thickening at the fundus, suggesting chronic cholecystitis, GB cancer, or adenomyomatosis.
kjg-68-49f1.tif
Fig. 2.
Abdominal ultrasound showed diffuse mild gallbladder (GB) wall thickening, suggesting chronic cholecystitis with no definite visible mass in the GB.
kjg-68-49f2.tif
Fig. 3.
(A) Postoperative H&E staining of the gallbladder showed chronic cholecystitis with amorphous eosinophilic depositions in the lamina propria mucosa (×40). (B) In Congo red staining of the gallbladder, amyloid depositions were stained in the lamina propria mucosa (×40).
kjg-68-49f3.tif
Fig. 4.
Apple-green birefringence was demonstrated in polarized light microscopy of Congo red staining (×40).
kjg-68-49f4.tif
Table 1.
Cases with Gallbladder Localization of Amyloidosis in the Literature
Author (year) Sex/age (yr) Symptoms Treatment Other localization of amyloidosis
Arista-Nasr et al. (1993)7 M/80 Asthenia, fever, weight loss, melena, diarrhea
(autopsy finding)
Intestinal tract
Remy et al. (1995)4 M/60 Right upper quadrant pain, fever Laparoscopic cholecystectomy Liver
Shimizu et al. (1996)8 F/54 Peripheral nerve and autonomic dysfunction, renal failure
(autopsy finding)
Peripheral and autonomic nervous system, heart, blood vessels, kidney, bladder, intestinal tract, submandibular glands, tongue, spleen, pancreas, thyroid, lung, liver, adrenal gland
Casassus-Builhe et al. (2000)9 F/76 Dyspepsia Liver, salivary glands, heart, intestinal tract, kidney
Kim et al. (2003)10 M/63 Right upper quadrant pain Cholecystectomy Kidney
Kwon et al. (2007)12 F/63 Incidental finding on abdominal US Laparoscopic cholecystectomy Duodenum
Denève et al. (2008)11 M/42 Right upper quadrant pain, fever, vomiting Cholecystectomy Intestinal tract, kidney, heart
Tirotta and Durante (2011)1 M/74 Asthenia, abdominal pain Cholecystectomy Heart, bone marrow
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