Nippon Shokakibyo Gakkai Zasshi
Online ISSN : 1349-7693
Print ISSN : 0446-6586
Case report
A case of systemic amyloidosis presenting with gastric emphysema
Momotaro MUTOKyozo IZUMIHiroto FUJIIMasaki GOTOShion TACHIBANAJunpei IKEDAMizue MUTONobuyuki YANAGAWA
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2023 Volume 120 Issue 3 Pages 250-255

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Abstract

The patient was an elderly woman in her 80s. Upper and lower gastrointestinal endoscopies were conducted as a thorough analysis for cardiac amyloidosis, revealing no abnormal findings. A mucosal biopsy, however, resulted in an amyloid AA-type amyloidosis diagnosis. About 2 months later, she visited our department with sudden vomiting and epigastric pain onset. Plain abdominal radiography and computed tomography demonstrated gastric emphysema, and thus, she was admitted to our department. The gastric emphysema was alleviated with conservative treatment. Herein, we report a valuable case in which gastric emphysema manifested as a gastrointestinal tract lesion of amyloidosis.

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© 2023 by The Japanese Society of Gastroenterology
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