Lingenfelser T, Daiss W, Overkamp D, Weber P
Department of Medicine, Eberhard-Karls University Tübingen, Germany.
Z Gastroenterol. 1994 Dec;32(12):688-90.
We report the case history of a 28-year-old homosexual man of Caucasian origin whose diagnosis of acquired immunodeficiency syndrome was established one year before admission on the basis of a positive human immunodeficiency virus serology and cutaneous Kaposi's sarcoma. Severe postprandial vomiting pointed to bowel obstruction in an emaciated, poor risk patient. Endoscopy revealed multifocal, violaceous tumours throughout the upper gastrointestinal tract which, eventually, obstructed the duodenum. Histology confirmed the putative diagnosis of gastrointestinal Kaposi's sarcoma, which responded well to monochemotherapy with vincristine. Significant clinical improvement and repeat endoscopy indicated tumour regression and resolution of bowel obstruction.
我们报告了一名28岁的白种人同性恋男子的病史，其在入院前一年被诊断为获得性免疫缺陷综合征，诊断依据是人类免疫缺陷病毒血清学检测呈阳性以及患有皮肤卡波西肉瘤。严重的餐后呕吐表明一名消瘦、高危患者存在肠梗阻。内镜检查显示整个上消化道有多发性紫色肿瘤，最终阻塞了十二指肠。组织学检查证实了胃肠道卡波西肉瘤的推测诊断，该肿瘤对长春新碱单一化疗反应良好。显著的临床改善和重复内镜检查表明肿瘤消退且肠梗阻得到缓解。
