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14 August 2015 : Case report  Brazil

Obstructive Gastric Pseudotumor Caused by Cytomegalovirus in an AIDS Patient: A Case Report and Review of Surgical Treatment

Challenging differential diagnosis, Educational Purpose (only if useful for a systematic review or synthesis), Rare coexistence of disease or pathology

Yuri Longatto BoteonA, Iuri Pedreira Filardi AlvesE, Amanda Pinter Carvalheiro da SilvaE, Valdir Tercioti JuniorE, João de Souza Coelho NetoF, Luiz Roberto LopesD, Marcelo de Carvalho RamosD, Nelson Adami AndreolloA

DOI: 10.12659/AJCR.894070

Am J Case Rep 2015; 16:536-541

Abstract

BACKGROUND: Cytomegalovirus (CMV) is a common opportunistic pathogen in patients with HIV. It is also a major cause of gastrointestinal ulcers in patients with acquired immunodeficiency syndrome (AIDS). CMV pseudotumor in the stomach is a rare cause of digestive tract obstruction.

CASE REPORT: In this study we report a male patient infected with HIV in 2002. In 2014 he evolved C3 stage AIDS with pre-pyloric gastric ulcer which provoked deformity and pseudotumoral aspect of the gastric outlet. Endoscopic biopsy confirmed CMV infection. He underwent Roux-en-Y gastroenteroanastomosis with good recovery.

CONCLUSIONS: CMV infection should be considered as an agent in gastric lesions in HIV-infected patients. Roux-en-Y gastroenteroanastomosis is a surgical option for this group of patients, allowing improvements in quality of life and decreasing risks of perioperative complications.

Keywords: AIDS-Related Opportunistic Infections - therapy, Cytomegalovirus Infections - therapy, Gastric Outlet Obstruction - virology

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923