Lower Gastrointestinal Bleeding Induced by Secondary Amyloidosis

Sung Bum Kim; Kyeong Ok Kim

doi:10.4166/kjg.2014.64.6.387

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Kim and Kim: Lower Gastrointestinal Bleeding Induced by Secondary Amyloidosis

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Korean J Gastroenterol 2014;64(6):387-389.

Published online: 4 October 2014

DOI: https://doi.org/10.4166/kjg.2014.64.6.387

Lower Gastrointestinal Bleeding Induced by Secondary Amyloidosis

Sung Bum Kim, Kyeong Ok Kim

Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea

Correspondence to: Kyeong Ok Kim, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Yeungnam University College of Medicine, 170 Hyeonchung-ro, Nam-gu, Daegu 705-703, Korea. Tel: +82-53-620-3835, Fax: +82-53-623-8038, E-mail: kokim@yu.ac.kr

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Fig. 1.

Endoscopic findings at initial visit. (A) Coarse mucosa with diminished colonic vasculature is noted throughout the colon. (B) Diffuse mucosal ulceration with necrotic tissue and hemorrhagic bullae are seen on descending and sigmoid colon.

Fig. 2.

Cardiac MRI. Diffuse left ventricular wall thickening is noted on vertical long axis veiw.

Fig. 3.

Microscopic findings of colon tissue. (A) Amorphous pinkish hyaline deposits are seen in vessel wall (H&E, ×200). (B) Congo red staining shows amorphous hyaline deposits in vessel walls (×200).

Fig. 4.

Gross findings of surgically resected specimen. Mucosal ulcerations and hemorrhage at subserosal fat are noted without any mass-like lesions.

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