An Unusual Presentation of Multiple Myeloma: Plasmacytic Ascites Complicated by Duodenal Involvement Multiple Myeloma’nın Nadir bir Prezentasyonu: Duedonal Tutulum ile Komplike olan Plazmasitik Asit

Yıl 2017, Cilt: 39 Sayı: 2, 60 - 64, 21.07.2017

Güven Barış Cansu Havva Üsküdar Teke , Olga Meltam Akay Emre Entok

https://doi.org/10.20515/otd.308424

Öz

Abstract: The incidence of gastrointestinal system involvement during the course
of multiple myeloma (MM) is rare. The usually
affected sites of GI tract are small and large bowel, stomach, and rarely
esophagus. Only a few MM cases are also known with myelomatous ascites at
presentation. In this report, we present a 67-year old patient who developed
myelomatosus ascites. Although rare, MM can involve extramedullary areas such
as duodenum and different kinds of complications may occur. In addition to
standard diagnostic and treatment methods, individualized diagnostic and
therapeutic options should be considered for such patients.

Key words: multiple myeloma, ascites, duodenal involvement

Öz: Multiple myeloma (MM) seyrinde gastrointestinal sistem tutulumu
nadirdir. Gastrointestinal sistemde sıklıkla ince ve kalın bağırsak, mide ve
nadiren de özefagus tutulur. MM vakalarında myeloma bağlı asit ile başvuran
hasta sayısı çok azdır. Bu vaka sunumunda myeloma bağlı asit gelişen 67 yaşında
bir erkek hasta sunulmuştur. Nadir görülmesine rağmen MM duodenum gibi
extramedüller bölgeleri tutabilir ve buna bağlı farklı komplikasyonlar gelişebilir.
Bu tür hastalarda standart tanı ve tedavi yöntemlerine ek olarak,
bireyselleştirilmiş tanı ve tedavi seçenekleri de düşünülmelidir.

Anahtar Kelimeler: multiple myelom,
asit, duodenal tutulum

Anahtar Kelimeler

multiple myeloma, ascites

Kaynakça

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