ISSN 1300-4948 | E-ISSN 2148-5607
Case Report
A case of multiple myeloma initially presenting as hematemesis
1 Department of Gastroenterology, Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou, China  
Turk J Gastroenterol 2018; 29: 108-111
DOI: 10.5152/tjg.2018.17710
Key Words: Multiple myeloma; amyloidosis; gastrointestinal hemorrhage; tissue biopsy; bone marrow puncture
Abstract

A few cases of multiple myeloma with gastrointestinal bleeding have been reported, but hematemesis is rarely encountered as an initial symptom of multiple myeloma. Here we report a case of multiple myeloma with an initial symptom of hematemesis. Gastroscopy revealed ulceration in the angulus of the stomach. Colonoscopy revealed many ulcers in the ascending colon. A definite diagnosis of gastrointestinal amyloidosis was made using tissue biopsy. A definite diagnosis of multiple myeloma was made using bone marrow puncture. Hematemesis may be an initial symptom of multiple myeloma. A diagnosis of amyloidosis-induced hematemesis should be considered in patients with multiple myeloma.

 

 

Cite this article as: Zhou HB. A case of multiple myeloma initially presenting as hematemesis. Turk J Gastroenterol 2018; 29: 104-7.

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AVES | Copyright © 2018 Turkish Society of Gastroenterology | Latest Update: 22.10.2018