Massive Retroperitoneal Hemorrhage as an Initial Presentation of a Rare and Aggressive Form of Multiple Myeloma
Multiple myeloma, a plasma cell neoplasm, presents most commonly with anemia, hypercalcemia, renal failure, and bone pain. Only few cases of clinical aggressive presentation associated with bleeding were reported in the medical literature. The reported cases included gastrointestinal bleeding and ca...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Case Reports in Hematology |
| Online Access: | http://dx.doi.org/10.1155/2016/8206826 |
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| _version_ | 1832565080756060160 |
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| author | Aydah Alawadhi Laszlo Leb |
| author_facet | Aydah Alawadhi Laszlo Leb |
| author_sort | Aydah Alawadhi |
| collection | DOAJ |
| description | Multiple myeloma, a plasma cell neoplasm, presents most commonly with anemia, hypercalcemia, renal failure, and bone pain. Only few cases of clinical aggressive presentation associated with bleeding were reported in the medical literature. The reported cases included gastrointestinal bleeding and cardiac tamponade. Spontaneous retroperitoneal haemorrhage as initial presentation has not been so far reported. We hereby report a case of a 64-year-old female who was found to have catastrophic hemorrhage in the retroperitoneal region that extended into intrathecal space causing cord compression. The case posed a significant diagnostic and management dilemma. This case emphasizes the need to think broadly and include multiple myeloma in the diagnosis of unexplained massive retroperitoneal bleeding. |
| format | Article |
| id | doaj-art-27a691090fbe4a33bbcc9920054ac66a |
| institution | Kabale University |
| issn | 2090-6560 2090-6579 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Hematology |
| spelling | doaj-art-27a691090fbe4a33bbcc9920054ac66a2025-02-03T01:09:23ZengWileyCase Reports in Hematology2090-65602090-65792016-01-01201610.1155/2016/82068268206826Massive Retroperitoneal Hemorrhage as an Initial Presentation of a Rare and Aggressive Form of Multiple MyelomaAydah Alawadhi0Laszlo Leb1Department of Medicine, Saint Vincent Hospital, 123 Summer Street, Worcester, MA 01608, USADepartment of Medicine, Saint Vincent Hospital, 123 Summer Street, Worcester, MA 01608, USAMultiple myeloma, a plasma cell neoplasm, presents most commonly with anemia, hypercalcemia, renal failure, and bone pain. Only few cases of clinical aggressive presentation associated with bleeding were reported in the medical literature. The reported cases included gastrointestinal bleeding and cardiac tamponade. Spontaneous retroperitoneal haemorrhage as initial presentation has not been so far reported. We hereby report a case of a 64-year-old female who was found to have catastrophic hemorrhage in the retroperitoneal region that extended into intrathecal space causing cord compression. The case posed a significant diagnostic and management dilemma. This case emphasizes the need to think broadly and include multiple myeloma in the diagnosis of unexplained massive retroperitoneal bleeding.http://dx.doi.org/10.1155/2016/8206826 |
| spellingShingle | Aydah Alawadhi Laszlo Leb Massive Retroperitoneal Hemorrhage as an Initial Presentation of a Rare and Aggressive Form of Multiple Myeloma Case Reports in Hematology |
| title | Massive Retroperitoneal Hemorrhage as an Initial Presentation of a Rare and Aggressive Form of Multiple Myeloma |
| title_full | Massive Retroperitoneal Hemorrhage as an Initial Presentation of a Rare and Aggressive Form of Multiple Myeloma |
| title_fullStr | Massive Retroperitoneal Hemorrhage as an Initial Presentation of a Rare and Aggressive Form of Multiple Myeloma |
| title_full_unstemmed | Massive Retroperitoneal Hemorrhage as an Initial Presentation of a Rare and Aggressive Form of Multiple Myeloma |
| title_short | Massive Retroperitoneal Hemorrhage as an Initial Presentation of a Rare and Aggressive Form of Multiple Myeloma |
| title_sort | massive retroperitoneal hemorrhage as an initial presentation of a rare and aggressive form of multiple myeloma |
| url | http://dx.doi.org/10.1155/2016/8206826 |
| work_keys_str_mv | AT aydahalawadhi massiveretroperitonealhemorrhageasaninitialpresentationofarareandaggressiveformofmultiplemyeloma AT laszloleb massiveretroperitonealhemorrhageasaninitialpresentationofarareandaggressiveformofmultiplemyeloma |