RT Journal Article
SR Electronic
T1 An unusual presentation of primary amyloidosis
JF Saudi Medical Journal
JO Saudi Med J
FD Prince Sultan Military Medical City
SP 1478
OP 1481
VO 25
IS 10
A1 Mehmet Dursun
A1 Orhan Ayyildiz
A1 Serif Yilmaz
A1 Aslan Bilici
YR 2004
UL http://smj.org.sa/content/25/10/1478.abstract
AB A 65-year-old male patient presented with right upper-quadrant abdominal pain. Ultrasonography revealed hypoechoic lesion in the perihepatic and intraparenchymal area. Computed tomography CT showed hypodense lesion in the same localization. A fine needle biopsy specimen of the perihepatic lesion was hemorrhagic. On abdominal CT, the liver showed enhancement, but the spleen did not enhance. The spleen could not be detected by scintigraphic imaging using Tc99m sulfur dioxide. A diagnosis of primary amyloidosis was made by renal biopsy. Melphalan 10mg/day for 4 days/month was started. The clinical and radiological follow up demonstrated a resorption of the hematoma. The patient is still alive at the eighth month of therapy.