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KMID : 1103720200810051260
Journal of the Korean Society of Radiology
2020 Volume.81 No. 5 p.1260 ~ p.1265
Human Immunodeficiency Virus-Associated Gastrointestinal Kaposi's Sarcoma: A Case Report
Lim Hee-Joong

Park So-Hyun
Choi Seung-Joon
Park Su-Young
Lee Hee-Young
Chung Jun-Won
Chung Dong-Hae
Abstract
Kaposi's sarcoma (KS) is a multicentric human immunodeficiency virus-associated neoplasm characterized by multiple vascular nodules in the skin, mucous membranes, and viscera. Gastrointestinal acquired immunodeficiency syndrome (AIDS)-related KS is the most common visceral involvement reported in disseminated disease. Here, we present the findings of a rare case of KS involving multiple organs with abdominal pain and active bleeding in the colon. Multiple intraluminal lesions were found in the terminal ileum, sigmoid colon, and rectum by ileocolonoscopy, and in the jejunum and ileum by fluoroscopy. Abdominopelvic CT revealed multiple enhanced flat lesions in the ileum and enlarged lymph nodes. The diagnosis was confirmed by histopathology, and antiretroviral therapy was initiated as the treatment of choice for KS. Owing to the increasing number of AIDS patients, it is essential for radiologists and clinicians to be aware of the imaging characteristics of KS to protect physicians from indiscriminate exposure to AIDS.
KEYWORD
Sarcoma, Kaposi, Acquired Immunodeficiency Syndrome, Small Intestine
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