case_images: PMC11786779_01
case_images: A CT scan shows spontaneous hepatic hemorrhage
case_images: cureus-0017-00000076791-i01.jpg
case_images: PMC11786779_01_cureus-0017-00000076791-i01.jpg
case_images: FIG1
case_images: A computed tomography (CT) scan was performed, which showed a right subcapsular hematoma of 4.4 cm with extravasation focused at the medial aspect of the hepatic dome (Figure 1).
case_images: Bone marrow aspirate smear with 8% plasma cells identified (400x magnification)
case_images: cureus-0017-00000076791-i02.jpg
case_images: PMC11786779_01_cureus-0017-00000076791-i02.jpg
case_images: FIG2
case_images: Bone marrow core biopsy with amyloid (100x magnification)
case_images: cureus-0017-00000076791-i03.jpg
case_images: PMC11786779_01_cureus-0017-00000076791-i03.jpg
case_images: FIG3
case_images: Clot section with CD138 positive immunohistochemical staining in 10%-20% of marrow cells (200x magnification)
case_images: cureus-0017-00000076791-i04.jpg
case_images: PMC11786779_01_cureus-0017-00000076791-i04.jpg
case_images: FIG4