ABSTRACT

A 65 year old male patient who have diagnosis of multiple myeloma for three months. The abdominal ultrasonography was performed upon development of swelling in the abdomen and legs prior to the third cycles of chemotherapy treatment. On ultrasonographic examination the liver was normal but there was free fluid in abdomen. In cytological examination of ascites fluid atypical plasma cell was not detected but Ig G Kappa type monoclonal gammopathy was detected in immunofixation electrophoresis of ascites fluid. Ig G was 1520 mg/dl, Kappa total light chain was 399 mg/dl in ascites fluid. Also there was a beta band peak in ascites fluid protein electrophoresis. Lenalidomide (Revlimid) treatment was planned for multiple myeloma and ascites but patient died due to hypotension and acute renal insufficiency.