Peritoneal Amyloidosis as a Presenting Manifestation of AL Amyloid

Authors

Indira Acharya, Medstar Health Internal Medicine Residency Program, Baltimore, MDFollow
Gifty A. Dominah, Medstar Health Internal Medicine Residency Program, Baltimore, MD
Dongmei Xing, Medstar Health, Department of Pathology, Baltimore, MD
Elizabeth Allen, Medstar Health, Department of Pathology, Baltimore, MD
Jeffrey S. Iding, Medstar Health, Department of Pathology, Baltimore, MD
Christopher J. Haas, Georgetown University School of Medicine, Washington, DC

Abstract

Amyloid is a systemic disease characterized by extracellular deposition of misfolded protein. Gastrointestinal and peritoneal deposition of light chain (AL) amyloid is an under-recognized manifestation of this systemic disease, usually as a late sequela. Here we present a case of recently diagnosed AL peritoneal amyloid that presented in the context of recurrent, acute onset abdominal discomfort and was found to have bowel obstruction complicated by perforation in the setting of AL-mediated gastrointestinal tract infiltration and dysmotility.

Recommended Citation

Acharya, Indira; Dominah, Gifty A.; Xing, Dongmei; Allen, Elizabeth; Iding, Jeffrey S.; and Haas, Christopher J. (2023) "Peritoneal Amyloidosis as a Presenting Manifestation of AL Amyloid," Journal of Community Hospital Internal Medicine Perspectives: Vol. 13: Iss. 3, Article 19.
DOI: 10.55729/2000-9666.1193
Available at: https://scholarlycommons.gbmc.org/jchimp/vol13/iss3/19