A submucosal antral mass caused by cytomegalovirus infection in a patient with acquired immunodeficiency syndrome.

A 29-yr-old homosexual man with acquired immunodeficiency syndrome presented with watery diarrhea and fever. Upper gastrointestinal endoscopy was performed to obtain duodenal aspirates and biopsies. A 4-cm submucosal mass in the gastric antrum was identified. Subsequent abdominal CT scan confirmed the presence of this antral mass. An attempt at CT guided needle biopsy was nondiagnostic. Because the mass possibly represented a Kaposi's sarcoma or lymphoma, exploratory laparotomy and open biopsy was performed. Examination of the biopsy specimen showed inflammatory debris with multiple intranuclear cytomegalovirus inclusions. This report describes a case of a submucosal antral mass caused by localized cytomegalovirus infection in a patient with acquired immunodeficiency syndrome.