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Review
. 2015 Aug 14:16:536-41.
doi: 10.12659/AJCR.894070.

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

Yuri Longatto Boteon  1 , Iuri Pedreira Filardi Alves  1 , Amanda Pinter Carvalheiro da Silva  1 , Valdir Tercioti Junior  1 , João de Souza Coelho Neto  1 , Luiz Roberto Lopes  1 , Marcelo de Carvalho Ramos  2 , Nelson Adami Andreollo  1
Affiliations
Review

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

Yuri Longatto Boteon et al. Am J Case Rep. .

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.

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Figures

Figure 1.
Figure 1.
Endoscopic photo showing pre-pyloric gastric ulcer causing stenosis of pyloric channel (biopsy confirming ulcer etiology by CMV).
Figure 2.
Figure 2.
Photomicrography showing endothelial cells with foamy cytoplasm and nuclear eosinophilic inclusion compatible with cytopathic viral effect by cytomegalovirus in ulcerated mucosa area (hematoxylin-eosin, 400-fold increase).
See this image and copyright information in PMC

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