Balderas V, Spechler SJ. Upper gastrointestinal bleeding in a patient with AIDS.
ACTA ACUST UNITED AC 2006;
3:349-53; quiz following 353. [PMID:
16741554 DOI:
10.1038/ncpgasthep0497]
[Citation(s) in RCA: 8] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2006] [Accepted: 03/14/2006] [Indexed: 01/06/2023]
Abstract
BACKGROUND
A 38-year-old man with AIDS and hepatitis C was admitted to our hospital in January 2005, with complaints of epigastric pain, odynophagia, and melena of 4 days' duration. The patient was not taking highly active antiretroviral therapy because of poor compliance and he denied use of NSAIDs.
INVESTIGATIONS
Physical examination, stool guaiac test, laboratory investigations, and esophagogastroduodenoscopy with biopsies of gastric ulcerations.
DIAGNOSIS
Non-Hodgkin's lymphoma of the stomach (diffuse large B-cell type) with associated gastric ulceration and bleeding.
MANAGEMENT
Injection of epinephrine and bipolar coagulation for the bleeding malignant ulcer, and PPI therapy.
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