Nitta Kosaku    Department   Other, Other    Position
Article types	Case report
Language	English
Peer review	Non peer reviewed
Title	A case of AL amyloidosis with renal rupture.
Journal	Formal name：Internal medicine (Tokyo, Japan) Abbreviation：Intern Med ISSN code：1349-7235(Electronic)0918-2918(Linking)
Volume, Issue, Page	49(19),pp.2129-32
Author and coauthor	Iwabuchi Yuko†, Itabashi Mitsuyo, Yamashita Tetsuri, Kawanishi Kunio, Kojima Chiari, Takei Takashi, Arai Junko, Honda Kazuho, Nitta Kosaku
Publication date	2010/07
Summary	We report a 59-year-old woman with AL amyloidosis who presented with massive bleeding from the right kidney, in whom emergency surgery proved to be life saving. The patient had been diagnosed as having AL amyloidosis 16 years previously. After 5 years, hemodialysis had been initiated. In 2007, a large right-sided perinephric, intracapsular hematoma was detected. Right nephrectomy was performed and the patient recovered with no sequelae. Histopathological examination revealed a greater degree of amyloid deposition in the resected kidney than that at the time of diagnosis. Amyloid angiopathy may promote bleeding.
Document No.	20930441