Key result
A 69-year-old man presenting with gastrointestinal bleeding and azotemia was diagnosed with cholesterol crystal embolization to the kidney and a duodenal leiomyoma, an uncommon site for embolization.
Case Report (n=1)
No
This case report highlights an uncommon site (duodenal leiomyoma) for cholesterol crystal embolization in a patient presenting with GI bleeding and azotemia.
May warrant consideration of cholesterol crystal embolism in GI bleeding with azotemia; leaves open whether targeted diagnostics improve outcomes.
Cholesterol crystal embolism can be spontaneous or iatrogenic, and it can involve any organ of the gastrointestinal tract, presenting with common gastrointestinal symptoms such as bleeding, perforation, obstruction, and inflammation. It is therefore considered the "great masquerader," requiring a high level of suspicion because the condition is associated with increased morbidity and mortality. We present a 69-year-old man who presented with gastrointestinal bleeding and azotemia. He was found to have cholesterol crystal embolization in the kidney and a duodenal leiomyoma, the latter being an uncommon site to embolize.
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Sy et al. (2018) conducted a case report in Cholesterol crystal embolization and duodenal leiomyoma (n=1). Local excision of duodenal leiomyoma and supportive care was evaluated on Diagnosis and clinical course. A 69-year-old man presenting with gastrointestinal bleeding and azotemia was diagnosed with cholesterol crystal embolization to the kidney and a duodenal leiomyoma, an uncommon site for embolization.
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