胃卡波西肉瘤在一名非艾滋病患者中表现为上消化道出血。
Gastric Kaposi sarcoma presenting as an upper gastrointestinal bleeding in a non-AIDS patient.
作者信息
Zanganeh Elahe, Hosseini Seyed Ashkan, Alimadadi Mehdi, Seyyedmajidi Mohammadreza
机构信息
Golestan Research Center of Gastroenterology and Hepatology (GRCGH), Golestan University of Medical Sciences, Gorgan, Iran.
Mashhad University of Medical Sciences, Mashhad, Iran.
出版信息
Caspian J Intern Med. 2021;12(Suppl 2):S413-S416. doi: 10.22088/cjim.12.0.413.
BACKGROUND
Majority of the patients affected by Kaposi sarcoma (KS) have human immunodeficiency virus (HIV). Highly active antiretroviral therapy (HAART) lessened the incidence of AIDS (acquired immunodeficiency syndrome)- related KS. Cutaneous signs are the most common, but involving the gastrointestinal (GI) tract is very important and dangerous because of serious complications including perforation and bleeding.
CASE PRESENTATION
This report is a rare case of gastric-KS presenting as melena in a non-AIDS 67-year-old woman. We describe the diagnosis and management of this rare complication.
CONCLUSION
GI-KS is often asymptomatic with different endoscopic appearances, and maybe present without cutaneous lesions. Thus, a high diagnostic suspicion is needed and we should attend these GI complications.
背景
大多数卡波西肉瘤（KS）患者感染了人类免疫缺陷病毒（HIV）。高效抗逆转录病毒疗法（HAART）降低了与获得性免疫缺陷综合征（AIDS）相关的KS的发病率。皮肤症状最为常见，但累及胃肠道（GI）非常重要且危险，因为会出现包括穿孔和出血在内的严重并发症。
病例报告
本报告是一例罕见的胃KS病例，表现为一名67岁非艾滋病女性的黑便。我们描述了这种罕见并发症的诊断和治疗。
结论
胃肠道KS通常无症状，内镜表现各异，可能无皮肤病变。因此，需要高度怀疑诊断，并应对这些胃肠道并发症。
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