Gastrointestinal Kaposi sarcoma with appendiceal involvement.

South Med J

Department of Internal Medicine and Pathology, The University of Kansas Medical Center, Kansas City, Kansas, USA.

Published: April 2011

AI Article Synopsis

  • * The case involves a 42-year-old bisexual male with HIV who hadn't received antiretroviral therapy for four years and presented with severe abdominal symptoms and melena stools.
  • * After endoscopy confirmed the presence of Kaposi sarcoma in his gastrointestinal tract, he underwent surgery to remove his appendix and recovered without complications, highlighting a rare occurrence of appendiceal Kaposi sarcoma linked to appendicitis.

Article Abstract

Kaposi sarcoma is a vascular tumor manifesting as nodular lesions on skin, mucous membranes, or internal organs. This is a case of a 42-year-old human immunodeficiency virus- (HIV) positive bisexual male, not on highly active antiretroviral therapy (HAART) since diagnosis four years ago. He presented with a three-day history of abdominal pains, fever, vomiting, and a one-week history of melena stools. Endoscopy revealed Kaposi sarcoma in the stomach and duodenum. Postendoscopy, he developed acute abdomen. Exploratory laparotomy revealed extensive Kaposi sarcoma of the gastrointestinal tract with appendiceal involvement. The patient underwent appendectomy and had an uneventful recovery. A review of the literature discusses appendiceal Kaposi sarcoma with appendicitis, a rare but critical manifestation of gastrointestinal Kaposi sarcoma.

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Source
http://dx.doi.org/10.1097/SMJ.0b013e31820dc210DOI Listing

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