Upper gastrointestinal bleeding in a patient with AIDS.
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.


METHODS
Physical examination, stool guaiac test, laboratory investigations, and esophagogastroduodenoscopy with biopsies of gastric ulcerations.


METHODS
Non-Hodgkin's lymphoma of the stomach (diffuse large B-cell type) with associated gastric ulceration and bleeding.


RESULTS
Injection of epinephrine and bipolar coagulation for the bleeding malignant ulcer, and PPI therapy.
Balderas
Valeska
V
University of Texas Southwestern Medical Center, Dallas, TX, USA.
Spechler
Stuart Jon
SJ
D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D000328:Adult; D001706:Biopsy; D003937:Diagnosis, Differential; D016099:Endoscopy, Gastrointestinal; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D016558:Hemostasis, Endoscopic; D006801:Humans; D016403:Lymphoma, Large B-Cell, Diffuse / Q000150:complications / Q000473:pathology; D008297:Male; D013276:Stomach Ulcer / Q000150:complications* / Q000473:pathology