Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Aug 6, 2024; 12(22): 5196-5207
Published online Aug 6, 2024. doi: 10.12998/wjcc.v12.i22.5196
Pleural effusion, ascites, colon ulcers and hematochezia: What we can learn from the diagnostic process of a patient with plasma cell myeloma: A case report
Ming-Xian Yan
Ming-Xian Yan, Department of Gastroenterology, The First Affiliated Hospital of Shandong First Medical University, Shandong Provincial Qianfoshan Hospital, Jinan 250014, Shandong Province, China
Author contributions: Dr. Yan MX contributed to data collection, writing, and revision of the manuscript.
Informed consent statement: This article does not contain personal information that would allow the patient described to be identified, which makes both authorization from the institution’s ethics committee and the patient’s informed consent unnecessary for the publication of the article.
Conflict-of-interest statement: The author declares no conflicts of interest regarding the publication of this article.
CARE Checklist (2016) statement: The author has read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ming-Xian Yan, MD, PhD, Chief Physician, Department of Gastroenterology, The First Affiliated Hospital of Shandong First Medical University, Shandong Provincial Qianfoshan Hospital, No. 16766 Jingshi Road, Jinan 250014, Shandong Province, China. yanmingxian@sdfmu.edu.cn
Received: April 6, 2024
Revised: May 24, 2024
Accepted: June 12, 2024
Published online: August 6, 2024
Processing time: 86 Days and 21.3 Hours
Core Tip

Core Tip: Plasma cell myeloma is a common hematologic disorder that typically presents with hypocalcemia, anemia, kidney damage, and bone destruction. However, some patients present it atypically, with symptoms from other systems as the main manifestation, making the diagnosis difficult. For patients with complex presentations, necessary tests should be gradually refined through a multidisciplinary approach to obtain an accurate diagnosis. Clinicians need to accumulate clinical experience to effectively diagnose such difficult cases.