Upper gastrointestinal bleeding in a patient with AIDS

Valeska Balderas, Stuart Jon Spechler

Research output: Contribution to journalArticle

8 Scopus citations

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 guaia c 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.

Original languageEnglish (US)
Pages (from-to)349-353
Number of pages5
JournalNature Clinical Practice Gastroenterology and Hepatology
Volume3
Issue number6
DOIs
StatePublished - Jun 1 2006

Keywords

  • AIDS
  • Endoscopy
  • Gastrointestinal bleeding
  • Non-Hodgkin's lymphoma
  • PPIs

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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