A rare cause of colonic pseudo-obstruction due to light chain amyloidosis

Yunpeng Jack Deng; Bushra Othman

doi:10.1093/jscr/rjad517

A rare cause of colonic pseudo-obstruction due to light chain amyloidosis

J Surg Case Rep. 2023 Sep 16;2023(9):rjad517. doi: 10.1093/jscr/rjad517. eCollection 2023 Sep.

Authors

Yunpeng Jack Deng¹, Bushra Othman^{1

2}

Affiliations

¹ Colorectal Surgical Department, Eastern Health, Box Hill, Victoria 3128, Australia.
² Department of Medicine Nursing and Health Sciences, Monash University, Box Hill, Victoria 3128, Australia.

Abstract

In this case report, we discuss the rare presentation of a 56-year-old-gentleman with a history of light chain amyloidosis (AL), causing colonic pseudo-obstruction and requiring open subtotal colectomy and end ileostomy. This should remain a differential diagnosis in patients with known light chain AL presenting with nonspecific gastrointestinal symptoms such as constipation and abdominal pain. This prompts early investigation, such as endoscopy and tissue biopsy, and surgical intervention may be warranted.

Publication types

Case Reports