AL amyloidosis with spontaneous hepatic rupture: successful treatment by transcatheter hepatic artery embolization |
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| Authors: | Dr Ko-Suke Naito Takashi Ichiyama Satoshi Kawakami Masumi Kadoya Takahiro Tabata Masayuki Matsuda |
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| Affiliation: | 1. Departments of Medicine (Neurology and Rheumatology)tamame@aurora.ocn.ne.jp;3. Departments of Medicine (Neurology and Rheumatology);4. Radiology, Shinshu University of Medicine, Matsumoto, Japan;5. Department of Internal Medicine, Niigata Rosai Hospital, Japan |
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| Abstract: | A 42-year-old male patient with primary AL amyloidosis experienced spontaneous hepatic rupture, producing diffuse widespread intrahepatic hemorrhage. Transcatheter hepatic artery embolization saved his life. Hepatic rupture infrequently develops in patients with systemic amyloidosis, but survival after this complication is rare because surgical treatments seldom succeed. Non-invasive emergent transcatheter embolization should be considered for hepatic rupture caused by massive deposits of amyloid. |
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| Keywords: | AL amyloidosis amyloid liver hepatic rupture transcatheter embolization |
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