GÜVEN BARIŞ CANSU, Hava Üsküdar TEKE, Olga Meltem AKAY, EMRE ENTOK

Multiple Myeloma'nın Nadir bir Prezentasyonu: Duedonal Tutulum ile Komplike olan Plazmasitik Asit

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.

An Unusual Presentation of Multiple Myeloma: Plasmacytic Ascites Complicated by Duodenal Involvement

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.

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