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Karoui S, Haddad W, Serghini M, Ghorbel IB, Chebbi F, Azzouz H, Haouet S, Houmen H, Safta ZB, Boubaker J, Filali A. Peritoneal amyloidosis: unusual localization of gastrointestinal amyloidosis. Clin J Gastroenterol 2011; 4:198-201. [PMID: 26189519 DOI: 10.1007/s12328-011-0222-0] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/30/2010] [Accepted: 03/16/2011] [Indexed: 01/09/2023]
Abstract
Amyloidosis is a rare disease that results from the extracellular deposition of amorphous fibrillar protein. It is usually observed in a systemic form. Gastrointestinal involvement is frequent but peritoneal localization is unusual. A 43-year-old male was investigated for nephritic colic. Morphologic explorations revealed small intestine agglomerans in the periumbilical region, infiltration of peritoneal fat and multiple coelio-mesenteric lymph nodes. There were no clinical or biological abnormalities and endoscopic examinations were normal. The patient then underwent an exploratory laparoscopy. Macroscopically false membranes were seen throughout the peritoneum and small bowel without ascites. Anatomopathologic examination diagnosed peritoneal amyloidosis. After several investigations a diagnosis of a primary peritoneal amyloidosis was confirmed. The patient was treated with melphalan and prednisone with a favorable outcome. Our case illustrates a particular presentation of peritoneal amyloidosis. Despite improved imaging methods, peritoneal biopsy remains essential for diagnosis.
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Affiliation(s)
- Sami Karoui
- Department of Gastroenterology A, La Rabta Hospital, 1007, Tunis, Tunisia.
| | - Wafa Haddad
- Department of Gastroenterology A, La Rabta Hospital, 1007, Tunis, Tunisia
| | - Meriem Serghini
- Department of Gastroenterology A, La Rabta Hospital, 1007, Tunis, Tunisia
| | - Imed Ben Ghorbel
- Department of Internal Medicine, La Rabta Hospital, Tunis, Tunisia
| | - Faouzi Chebbi
- Department of Surgery A, La Rabta Hospital, Tunis, Tunisia
| | - Heifa Azzouz
- Department of Anatomopathology, La Rabta Hospital, Tunis, Tunisia
| | - Slim Haouet
- Department of Anatomopathology, La Rabta Hospital, Tunis, Tunisia
| | - Habib Houmen
- Department of Internal Medicine, La Rabta Hospital, Tunis, Tunisia
| | | | - Jalel Boubaker
- Department of Gastroenterology A, La Rabta Hospital, 1007, Tunis, Tunisia
| | - Azza Filali
- Department of Gastroenterology A, La Rabta Hospital, 1007, Tunis, Tunisia
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