Plasmocytoma - A Rare Couse of Upper Gastrointestinal Bleeding. Case Report

Abstract

The study presented a case of 56-year-old male who underwent emergency surgery due to massive upper gastrointestinal bleeding. Prior to surgery, during the last two years the patient was hospitalized and diagnosed several times due to recurrent gastrointestinal bleeding. During the last duodenoscopy a presence of pancreatic tumor infiltrating distal part of the duodenum was shown. The patient was released home -further treatment was postponed until results of histological examination of biopsy were available. Before that the patient was admitted and underwent surgery in our hospital due to massive gastrointestinal bleeding. During surgery no pancreatic or duodenal tumor was found. We revealed a neoplasmatic tumor of small intestine, localized about 7-10 cm to Treitz' ligamentum. Resection of the intestine was performed. The postoperative course was uneventful. The histological examination of the specimen revealed an isolated extramedullary plasmocytoma of the small intestine.

A case of upper gastrointestinal acute bleeding as a complication of renal carcinoma metastases to the papilla Vateri

“…Nowadays, widespread access to endoscopic techniques allows us to stop bleeding successfully. Thanks to the techniques used today such as clips, obliteration of vessels, diathermy or laser, it is possible to stop bleeding in up to 90% of cases using an endoscope [ 2 – 4 ]. In the case described, endoscopic treatment could not stop the bleeding.…”

“…We rarely deal with sanguineous gastritis or duodenitis, Mallory-Weiss syndrome or oesophageal varices. We should not forget about the possibility of the presence of tumour [ 1 , 2 ]. A doctor should take into account one of the illnesses of the upper digestive tract after the first symptoms such as sanguineous vomiting or haemoptysis.…”

“…An endoscopic examination conducted correctly usually allows one to make the proper diagnosis. Unfortunately, until today in 10% of cases bleeding cannot be stopped using this method [ 2 ]. In such cases surgical treatment is recommended.…”