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Case Reports
. 2017 Dec 20:2017:bcr2017223601.
doi: 10.1136/bcr-2017-223601.

Recurrent lower gastrointestinal bleeding in an 87-year-old woman

Ilimbek Beketaev  1 , Patrick R Reardon  1 , Ekene I Okoye  2 , Lee M Morris  1
Affiliations
Case Reports

Recurrent lower gastrointestinal bleeding in an 87-year-old woman

Ilimbek Beketaev et al. BMJ Case Rep. .
No abstract available

Keywords: gastrointestinal surgery; gi bleeding.

PubMed Disclaimer

Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Nuclear medicine gastrointestinal bleeding study shows right colon bleeding.
Figure 2
Figure 2
Colonoscopy findings.
Figure 3
Figure 3
(A) Gross appearance of the colon resected. (B) A metal probe is used to highlight a diverticulum.
Figure 4
Figure 4
Histopathological findings of colon walls. Submucosal vessel with amyloid deposition. Note the presence of pink, amorphous material within the vessel wall, consistent with amyloid. (A) Low magnification (×200). (B) High magnification (×400).
Figure 5
Figure 5
Congo red stain under polarised light highlights the amyloid deposits within the vessel wall, which have an apple-green hue.
See this image and copyright information in PMC

References

    1. Chait MM. Lower gastrointestinal bleeding in the elderly. World J Gastrointest Endosc 2010;2:147–54. 10.4253/wjge.v2.i5.147 - DOI - PMC - PubMed
    1. Ali MF, Patel A, Muller S, et al. . Rare presentation of primary (AL) amyloidosis as gastrointestinal hemorrhage without systemic involvement. World J Gastrointest Endosc 2014;6:144–7. 10.4253/wjge.v6.i4.144 - DOI - PMC - PubMed
    1. Cornelis T, Bammens B, Lerut E, et al. . AA amyloidosis due to chronic oxalate arthritis and vasculitis in a patient with secondary oxalosis after jejunoileal bypass surgery. Nephrol Dial Transplant 2008;23:3362–4. 10.1093/ndt/gfn392 - DOI - PubMed

Publication types