Systemic Amyloidosis: A Rare Presentation of Mesenteric Angina

A 64-year-old man presented with an eight-month history of increasing postprandial epigastric pain and a 15 kg weight loss. Computed tomography of the abdomen, panendoscopy and mesenteric angiography failed to explain the cause of the patient's mesenteric angina. Systemic amyloidosis involving...

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Main Authors: Christopher N Andrews, Jack N Amar, Malcolm MM Hayes, Robert A Enns
Format: Article
Language:English
Published: Wiley 2002-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/2002/125806
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author Christopher N Andrews
Jack N Amar
Malcolm MM Hayes
Robert A Enns
author_facet Christopher N Andrews
Jack N Amar
Malcolm MM Hayes
Robert A Enns
author_sort Christopher N Andrews
collection DOAJ
description A 64-year-old man presented with an eight-month history of increasing postprandial epigastric pain and a 15 kg weight loss. Computed tomography of the abdomen, panendoscopy and mesenteric angiography failed to explain the cause of the patient's mesenteric angina. Systemic amyloidosis involving intestinal small vasculature without larger arterial involvement was diagnosed at autopsy after the patient died of an asystolic cardiac arrest. Mesenteric angina without evidence of ischemic enteritis or pseudo-obstruction is a rare manifestation of amyloidosis.
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spelling doaj-art-6d96b2d5e7994689981aa2895051813b2025-02-03T06:12:08ZengWileyCanadian Journal of Gastroenterology0835-79002002-01-01161068368510.1155/2002/125806Systemic Amyloidosis: A Rare Presentation of Mesenteric AnginaChristopher N Andrews0Jack N Amar1Malcolm MM Hayes2Robert A Enns3Department of Medicine, University of British Columbia, Vancouver, British Columbia, CanadaDepartment of Gastroenterology, St Paul’s Hospital, Vancouver, British Columbia, CanadaDepartment of Pathology, St Paul’s Hospital, Vancouver, British Columbia, CanadaDepartment of Gastroenterology, St Paul’s Hospital, Vancouver, British Columbia, CanadaA 64-year-old man presented with an eight-month history of increasing postprandial epigastric pain and a 15 kg weight loss. Computed tomography of the abdomen, panendoscopy and mesenteric angiography failed to explain the cause of the patient's mesenteric angina. Systemic amyloidosis involving intestinal small vasculature without larger arterial involvement was diagnosed at autopsy after the patient died of an asystolic cardiac arrest. Mesenteric angina without evidence of ischemic enteritis or pseudo-obstruction is a rare manifestation of amyloidosis.http://dx.doi.org/10.1155/2002/125806
spellingShingle Christopher N Andrews
Jack N Amar
Malcolm MM Hayes
Robert A Enns
Systemic Amyloidosis: A Rare Presentation of Mesenteric Angina
Canadian Journal of Gastroenterology
title Systemic Amyloidosis: A Rare Presentation of Mesenteric Angina
title_full Systemic Amyloidosis: A Rare Presentation of Mesenteric Angina
title_fullStr Systemic Amyloidosis: A Rare Presentation of Mesenteric Angina
title_full_unstemmed Systemic Amyloidosis: A Rare Presentation of Mesenteric Angina
title_short Systemic Amyloidosis: A Rare Presentation of Mesenteric Angina
title_sort systemic amyloidosis a rare presentation of mesenteric angina
url http://dx.doi.org/10.1155/2002/125806
work_keys_str_mv AT christophernandrews systemicamyloidosisararepresentationofmesentericangina
AT jacknamar systemicamyloidosisararepresentationofmesentericangina
AT malcolmmmhayes systemicamyloidosisararepresentationofmesentericangina
AT robertaenns systemicamyloidosisararepresentationofmesentericangina