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- W2913455775 abstract "Purpose: KS was rarely seen in the US before the start of transplant medicine and the HIV epidemic. Bowel intussusception is common in children but represents only 1% of cases in in adults. Unlike children, adult intussusception is associated with pathological lesions. In HIV patients the most frequent GI tumor is KS. However most cases are asymptomatic. Few cases of KS presenting with intussusception are described in the literature. We present KS of the small intestine associated with intussusception in an HIV positive adult. Case Scenario: A 37 year old homosexual male, HIV positive, presented with non-radiating sharp abdominal pain associated with vomiting and non-bloody watery diarrhea. He was non-compliant with HAART. On exam he was afebrile. Abdomen was soft, diffusely tender. Bowel sounds were audible. Stool guaiac was negative. Abdominal X- ray showed multiple air fluid levels suggestive of small bowel obstruction. Abdominal CT showed ileo-ileal intussusception resulting in small bowel obstruction. At laparotomy he had telescoping of ileum (intussusception). Affected portion of small bowel was removed. Biopsy showed KS. Recovery was uneventful. Discussion: In AIDS patients, KS is the most frequent tumor of the GI tract. It has been reported through out the GI tract, including the oropharynx, esophagus, stomach, small and large intestines, anus, liver, spleen and pancreas. 50% of cases involve the oral mucosa. It usually remains asymptomatic. In AIDS patients, on autopsy, KS involved the abdominal viscera in 77% of cases. In symptomatic cases, it manifested as GI bleeding, intestinal obstruction, intussusception, perforation and protein loosing enteropathy. In the literature we found 9 cases of KS presenting as intussusceptions in patients with AIDS (see table). Most of the cases involve the small bowel. 50% had skin involvement. Our case illustrates this life threatening but rare manifestation of a commonly occurring disease in HIV patients. KS should be considered in the differential diagnosis of an acute abdomen in AIDS patients.Table: Published cases of KS intussusception" @default.
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- W2913455775 date "2007-09-01" @default.
- W2913455775 modified "2023-09-25" @default.
- W2913455775 title "Kaposiʼs Sarcoma Presenting as Small Bowel Intussusception: Case Presentation and Review of the Literature" @default.
- W2913455775 doi "https://doi.org/10.14309/00000434-200709002-00260" @default.
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