Journal of Global Infectious Diseases

LETTER TO EDITOR
Year
: 2011  |  Volume : 3  |  Issue : 1  |  Page : 96--97

Multiple small bowel intussusceptions caused by Kaposi's sarcoma: The radiologist's point of view


P Diana Afonso, Rute Lourenšo 
 Department of Radiology, Hospital Garcia de Orta, Lisbon, Portugal

Correspondence Address:
P Diana Afonso
Department of Radiology, Hospital Garcia de Orta, Lisbon
Portugal




How to cite this article:
Afonso P D, Lourenšo R. Multiple small bowel intussusceptions caused by Kaposi's sarcoma: The radiologist's point of view.J Global Infect Dis 2011;3:96-97


How to cite this URL:
Afonso P D, Lourenšo R. Multiple small bowel intussusceptions caused by Kaposi's sarcoma: The radiologist's point of view. J Global Infect Dis [serial online] 2011 [cited 2020 Feb 27 ];3:96-97
Available from: http://www.jgid.org/text.asp?2011/3/1/96/77307


Full Text

Sir,

HIV patients are at high risk for conditions that predispose to intussusception, like lymphomas and infections of the GI tract. Therefore, whenever these patients have acute and unspecific abdominal complaints, the diagnosis of intussusception should also be considered. [1],[2] Computed tomography (CT) is a very useful imaging method for diagnosis of intussusception and can be quite helpful in this group of patients. We present a 43-year-old HIV 2 patient (CD4 + : 7/mm 3 and undetectable viral load) with known cutaneous Kaposi's sarcoma for a year, admitted to our hospital with an acute abdominal pain. CT images revealed a typical bowel-within-bowel appearance [[Figure 1]a-c], with two adjacent bowel walls of the outer intussuscipiens (double arrows) and the inner intussusceptum (arrow), associated with invaginated mesenteric fat and vessels (solid arrowhead), [3],[4],[5] suggesting multiple small bowel intussusceptions probably caused by Kaposi's sarcoma. This was later confirmed by surgical specimens (enterectomy with biopsies disclosed sixteen tumoral lesions due to Kaposi's sarcoma in the whole extension of the small bowel). So whenever you see a target-like image in a CT abdominal scan, look for the radiologist and keep in mind intussusception!{Figure 1}

References

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