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Obstructive jaundice secondary to multiple myeloma--a case report
Computerized Radiology : Official Journal of the Computerized Tomography Society
|July 1, 1986
Abstract:
Reported is a patient who presented with clinical obstructive jaundice caused by multiple myeloma involving the pancreatic head. This is a rare complication and a review of the literature showed only three similar reported cases.
Insights
Multiple myeloma can rarely cause obstructive jaundice due to pancreatic head involvement. This case highlights a rare complication of this plasma cell malignancy.
Area of Science:
- Oncology
- Gastroenterology
Background:
- Multiple myeloma is a plasma cell malignancy primarily affecting the bone marrow.
- Pancreatic head involvement by extramedullary myeloma is exceptionally rare.
Observation:
- A patient presented with obstructive jaundice, a clinical sign of biliary system blockage.
- Diagnostic imaging revealed pancreatic head mass consistent with extramedullary myeloma.
Findings:
- The patient's obstructive jaundice was directly caused by pancreatic head infiltration by multiple myeloma.
- Literature review identified only three previously reported cases of this rare presentation.
Implications:
- This case underscores the importance of considering extramedullary myeloma in the differential diagnosis of pancreatic head masses.
- Increased awareness may improve early diagnosis and management of this rare myeloma complication.