Abstract
We report a rare case of gallbladder amyloidosis which developed during the treatment of multiple myeloma. A 66-year-old woman was diagnosed with multiple myeloma and renal amyloidosis. She suffered right hypochondrial pain and fever during chemotherapy. Acalculous cholecystitis was diagnosed, and she given antibiotics and subcutaneous gallbladder drainage. However, cholecystectomy became necessary because the cholecystitis recurred. After the operation, the gallbladder was diagnosed pathologically as showing amyloidosis. Renal insufficiency suddenly worsened after the operation, progressing to renal, cardiac and respiratory failure. She died on the 28th day after the operation. Therefore, we concluded that the condition of multiple myeloma plus the existence of amyloidosis in other organs is important in judging the treatment priority for gallbladder amyloidosis.
