massive retroperitoneal hemorrhage as an initial presentation of a rare and aggressive form of multiple myeloma

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ID: 187073
2016
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Ranked #29 of 57 articles by views in Turkish journal of haematology : official journal of Turkish Society of Haematology

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Abstract
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.
Reference Key
alawadhi2016casemassive Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Aydah Alawadhi;Laszlo Leb
Journal Turkish journal of haematology : official journal of Turkish Society of Haematology
Year 2016
DOI
10.1155/2016/8206826
URL
http://dx.doi.org/10.1155/2016/8206826
Keywords
Diseases of the blood and blood-forming organs

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