Upper gastrointestinal bleeding in a patient with AIDS

被引:5
|
作者
Balderas, Valeska
Spechler, Stuart Jon
机构
[1] Dallas VA Med Ctr, Div Gastroenterol, Dallas, TX 75216 USA
[2] Univ Texas, SW Med Ctr, Dallas, TX 75230 USA
关键词
AIDS; endoscopy; gastrointestinal bleeding; non-Hodgkin's lymphoma; PPIs;
D O I
10.1038/ncpgasthep0497
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
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.
引用
收藏
页码:349 / 353
页数:5
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