Relapse of Multiple Myeloma Presenting with Biliary Obstruction
Author(s) -
Alan Coss,
Chen Zhou,
Michael F. Byrne,
Alan Weiss
Publication year - 2009
Publication title -
canadian journal of gastroenterology and hepatology
Language(s) - English
Resource type - Journals
eISSN - 2291-2797
pISSN - 2291-2789
DOI - 10.1155/2010/593859
Subject(s) - medicine , endoscopic retrograde cholangiopancreatography , infiltration (hvac) , endoscopic ultrasound , multiple myeloma , radiology , gastroenterology , pancreatitis , physics , thermodynamics
Pancreatic infiltration is a rare feature of multiple myeloma. A case of a 74-year-old man presenting with symptomatic biliary obstruction two years after the original diagnosis of myeloma is described. Confirmation of pancreatic infiltration with myeloma cells was performed by endoscopic ultrasound-guided fine-needle aspiration. Biliary stenting was performed at endoscopic retrograde cholangiopancreatography. Resolution of the pancreatic mass and the associated biliary stricture was observed after radiation and chemotherapy.
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