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Case Reports in Gastrointestinal Medicine - Volume 2017 2017, Article ID 3742684, 3 pages - https:-doi.org-10.1155-2017-3742684

Case ReportUniversity of Toledo Medical Center, Toledo, OH, USA

Correspondence should be addressed to Umar Darr

Received 26 October 2016; Accepted 9 January 2017; Published 5 February 2017

Academic Editor: Yoshihiro Moriwaki

Copyright © 2017 Umar Darr et al.
This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction.
Kaposi’s sarcoma KS usually manifests as a cutaneous disease but GI manifestation is often rare.
It is associated with human herpes virus-8 HHV-8 and seen in immunocompromised patients.
In the USA, use of highly active antiretroviral therapy HAART has drastically reduced incidence of KS in HIV patients.
Case Presentation.
A 65-year-old male with human immunodeficiency virus HIV was admitted to the intensive care unit ICU with cardiopulmonary arrest secondary to hyperkalemia of 7.5 meq-L.
Following placement of orogastric and endotracheal tube ETT, a significant amount of blood was noticed in the ETT.
Hemoglobin trended down from 9.6 mg-dL to 6.7 mg-dL over five days.
Stool guaiac was positive.
Esophagogastroduodenoscopy EGD was performed and revealed multiple large hypervascularized violaceous submucosal nodular lesions with stigmata of bleeding seen on the soft palate and pharynx and within the cricopharyngeal area close to the vocal cords.
Biopsy of the soft palate lesions showed proliferation of neoplastic spindle shaped cells arranged in bundles with slit-like capillary spaces containing erythrocytes consistent with Kaposi’s sarcoma.
Biopsy was positive for HHV-8.
Colonoscopy was unremarkable.
There were no cutaneous manifestations of the disease.
Conclusion.
GI involvement of Kaposi’s sarcoma must be considered in immunocompromised patients and can be confirmed by endoscopic methods.





Autor: Umar Darr, Anas Renno, Zubair Khan, Turki Alkully, Maitham A.
Moslim, Sehrish Kamal, and Ali Nawras


Fuente: https://www.hindawi.com/



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