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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. Key words: multiple myeloma, ascites, duodenal involvement Oz: Multiple myeloma (MM) seyrinde gastrointestinal sistem tutulumu nadirdir. Gastrointestinal sistemde siklikla ince ve kalin bagirsak, mide ve nadiren de ozefagus tutulur. MM vakalarinda myeloma bagli asit ile basvuran hasta sayisi cok azdir. Bu vaka sunumunda myeloma bagli asit gelisen 67 yasinda bir erkek hasta sunulmustur. Nadir gorulmesine ragmen MM duodenum gibi extrameduller bolgeleri tutabilir ve buna bagli farkli komplikasyonlar gelisebilir. Bu tur hastalarda standart tani ve tedavi yontemlerine ek olarak, bireysellestirilmis tani ve tedavi secenekleri de dusunulmelidir. Anahtar Kelimeler: multiple myelom, asit, duodenal tutulum

osmangazi tıp dergisi

An Unusual Presentation of Multiple Myeloma: Plasmacytic Ascites Complicated by Duodenal Involvement / Multiple Myeloma’nın nadir bir prezentasyonu: Duedonal tutulum ile komplike olan plazmasitik asit