Clinical Gastroenterology and Hepatology
Volume 8, Issue 1 , Page A32, January 2010

Primary Antral Duodenal Extramedullary Plasmacytoma Presenting With Melena

  • Tarek Ammar

      Affiliations

    • Department of Gastroenterology, Washington University School of Medicine, St. Louis, Missouri
    • ,
  • Friederike Kreisel

      Affiliations

    • Department of Pathology, Washington University School of Medicine, St. Louis, Missouri
    • ,
  • Matthew A. Ciorba

      Affiliations

    • Department of Gastroenterology, Washington University School of Medicine, St. Louis, Missouri

published online 16 March 2009.

A 69-year-old African American woman presented with a 2-week history of fatigue and melena. Her medical history was notable for congestive heart failure complicated by an apical thrombus requiring Coumadin. Physical examination showed pallor, but was otherwise unremarkable. Abnormal laboratory values included a hemoglobin level of 4.4 g/dL and an international normalized ratio of 2.3.

 

 Conflicts of interest The authors disclose no conflicts.

PII: S1542-3565(09)00216-X

doi:10.1016/j.cgh.2009.03.005

Clinical Gastroenterology and Hepatology
Volume 8, Issue 1 , Page A32, January 2010