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Massive gastrointestinal bleeding in AIDS patients secondary to histoplasma and cytomegalovirus infection.

Bruno MA, Parodi M, Olmedo I, Picón Molina H, Palencia R, Doniquian A - Int J Surg Case Rep (2016)

Bottom Line: However, in immunosuppressed patients, it may be found in unusual locations, as in the case of an intestinal condition.On the other hand, the association between Histoplasmosis and CMV as a massive gastrointestinal bleeding cause has not been described.There is no bibliography on the matter.

View Article: PubMed Central - PubMed

Affiliation: General Surgery Service, University Clinic Reina Fabiola, Catholic University of Córdoba, Oncativo 1248 street, Córdoba Capital, Argentina. Electronic address: marcobruno.cba@gmail.com.

No MeSH data available.


Related in: MedlinePlus

Mesenteric angiography. Bleeding in the third part of the superior mesenteric artery.
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fig0010: Mesenteric angiography. Bleeding in the third part of the superior mesenteric artery.

Mentions: In ICU, after administering volumes with crystalloids and colloids and performing the transfusion of four segmented red blood cells volumes, the patient was stabilised. This made possible the realization of a videocolonoscopy, which, due to technical difficulties, was difficult to evaluate. Subsequently, a mesenteric angiography test was performed to locate the bleeding section and to evaluate treatment possibilities. This test evidenced active bleeding in the third part of the superior mesenteric artery. Inferior mesenteric and celiac arteries were normal. A diffused bleeding was detected but it was difficult to identify which section of the third part of the mesentric artery was the responsible vessel (Fig. 1, Fig. 2).


Massive gastrointestinal bleeding in AIDS patients secondary to histoplasma and cytomegalovirus infection.

Bruno MA, Parodi M, Olmedo I, Picón Molina H, Palencia R, Doniquian A - Int J Surg Case Rep (2016)

Mesenteric angiography. Bleeding in the third part of the superior mesenteric artery.
© Copyright Policy - CC BY-NC-ND
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4930355&req=5

fig0010: Mesenteric angiography. Bleeding in the third part of the superior mesenteric artery.
Mentions: In ICU, after administering volumes with crystalloids and colloids and performing the transfusion of four segmented red blood cells volumes, the patient was stabilised. This made possible the realization of a videocolonoscopy, which, due to technical difficulties, was difficult to evaluate. Subsequently, a mesenteric angiography test was performed to locate the bleeding section and to evaluate treatment possibilities. This test evidenced active bleeding in the third part of the superior mesenteric artery. Inferior mesenteric and celiac arteries were normal. A diffused bleeding was detected but it was difficult to identify which section of the third part of the mesentric artery was the responsible vessel (Fig. 1, Fig. 2).

Bottom Line: However, in immunosuppressed patients, it may be found in unusual locations, as in the case of an intestinal condition.On the other hand, the association between Histoplasmosis and CMV as a massive gastrointestinal bleeding cause has not been described.There is no bibliography on the matter.

View Article: PubMed Central - PubMed

Affiliation: General Surgery Service, University Clinic Reina Fabiola, Catholic University of Córdoba, Oncativo 1248 street, Córdoba Capital, Argentina. Electronic address: marcobruno.cba@gmail.com.

No MeSH data available.


Related in: MedlinePlus