Chetty R, Arendse M P
Department of Anatomical Pathology, University of Natal, Durban.
S Afr J Surg. 1999 Feb;37(1):9-11.
Kaposi's sarcoma (KS) of the gastro-intestinal tract is a common disease in the AIDS setting, although it is often asymptomatic. In this paper we wish to highlight the occurrence of gastro-intestinal KS with appendiceal involvement. Two of the patients presented with features of acute appendicitis, and KS of the appendix was not suspected at the time of surgery. In the remaining patient KS of the appendix was part of generalised gastro-intestinal involvement. It is important to remember that KS can cause appendicitis by producing a submucosal nodule that abuts into the lumen and thereby causes obstruction. KS of the gastro-intestinal tract may therefore masquerade as 'simple' appendicitis, or indeed remain asymptomatic.
胃肠道卡波西肉瘤（KS）在艾滋病患者中是一种常见疾病，尽管它通常无症状。在本文中，我们希望强调胃肠道KS合并阑尾受累的情况。其中两名患者表现为急性阑尾炎的特征，手术时未怀疑阑尾有KS。在其余患者中，阑尾KS是胃肠道广泛受累的一部分。重要的是要记住，KS可通过形成一个突入管腔并导致梗阻的黏膜下结节而引起阑尾炎。因此，胃肠道KS可能会伪装成“单纯性”阑尾炎，或者实际上仍然无症状。
