Ictericia obstructiva. Inicio clínico de una amiloidosis duodenal tratada quirúrgicamente

Ortega, María Rodríguez; Hernández, Alberto Carabias; Navarro, Enrique Montano; Alonso, Alfonso Monereo; Barbero, J M; Esteban, Manuel Limones

doi:10.1157/13100589

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2015

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“…In one case, a large duodenal amyloidoma exerted a significant mass effect, resulting in duodenal obstruction and obstructive jaundice. 6 This is the second reported case in which an amyloidoma at the ampulla of Vater caused CBD obstruction, resulting in jaundice and cholangitis. 10 In our case, biopsy of the ampullary lesion revealed the diagnosis, and allowed for timely initiation of appropriate chemotherapy.…”

Section: Discussionmentioning

confidence: 82%

Primary Amyloidosis Presenting as Common Bile Duct Obstruction With Cholangitis

Clough

Shah

2015

ACG Case Reports Journal

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A 61-year-old woman presented with features of acute cholangitis and distal common bile duct obstruction. Histopathology from ampulla of Vater biopsy demonstrated extensive local amyloid deposition. Amyloidomas can cause local obstructive effects and have been described in the small intestine, stomach, and gallbladder. This is the second case of a discrete amyloid deposit causing extrahepatic biliary obstruction and cholangitis.

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Section: Discussionmentioning

confidence: 82%