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Amyloid
The Journal of Protein Folding Disorders
Volume 17, 2010 - Issue 1
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Letters to the Editor

Primary bladder amyloidosis – case report of a patient with delayed upper urinary tract obstruction 3 years after the diagnosis

, , , &
Pages 36-38 | Published online: 05 Feb 2010
 

Abstract

Primary bladder amyloidosis is a rare disease. There are approximately 100 reported cases. The lesions can be confused with bladder neoplasm and are characterised histologically by the classical apple green birefringence under polarised light. In this article, we report a 51-year-old lady with known history of primary bladder amyloidosis presenting with gross hydronephrosis 3 years after the first diagnosis. Laparoscopic ileal replacement of bilateral ureters was performed. There was no recurrent ureteric obstruction 2 years after surgery. This case demonstrates the progressive nature of primary amyloidosis of bladder. The diagnosis of primary bladder amyloidosis warrants long-term surveillance of upper urinary tract.

Abbreviations
TUR=

transurethral resection

CT=

computerised tomography

MRI=

magnetic resonance imaging

IVU=

intravenous urogram

DMSO=

dimethyl sulphoxide

Abbreviations
TUR=

transurethral resection

CT=

computerised tomography

MRI=

magnetic resonance imaging

IVU=

intravenous urogram

DMSO=

dimethyl sulphoxide

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.

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