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Rare presentation of intestinal amyloidosis with acute intestinal pseudo-obstruction and perforation
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Gastrointestinal manifestations of amyloidosis include dysmotility and pseudo-obstruction.1,2 Here, we report an exceptional case of acute small bowel obstruction followed by perforation in a patient with documented light chain amyloidosis (AL).
A 39 year old Chinese woman had a 10 year history of κ light chain myeloma with associated endstage renal failure requiring dialysis. Her final presentation was precipitated by the acute onset of abdominal pain and vomiting, diagnosed as small bowel obstruction. Laporatomy …