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Computed tomography for diagnosis of hepatic rupture in primary systemic amyloidosis
Author(s) -
Gastineau Dennis A.,
Gertz Morie A.,
Rosen Charles B.,
Kyle Robert A.
Publication year - 1991
Publication title -
american journal of hematology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.456
H-Index - 105
eISSN - 1096-8652
pISSN - 0361-8609
DOI - 10.1002/ajh.2830370312
Subject(s) - medicine , amyloidosis , ascites , computed tomography , radiology , surgery , pathology
Hepatic rupture in primary systemic amyloidosis is extremely ominous; death occurs in hours to days. We present two cases of hepatic rupture diagnosed ante mortem with computed tomography (CT). Surgical repair was possible in one instance and successfully controlled the bleeding. In the setting of primary amyloidosis, the early use of CT scanning for undiagnosed ascites, hypotension, or rapid organ enlargement may lead to early diagnosis and potential surgical correction.