Korean J Gastrointest Endosc.
2011 Apr;42(4):250-254.
Inflammatory Pseudotumor Causing Small Bowel Obstruction in a Patient with AIDS
- Affiliations
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- 1Department of Internal Medicine, Gang Dong Kyung Hee University Hospital, Kyunghee University College of Medicine, Seoul, Korea. dramc@hanmail.net
- 2Department of Pathology, Gang Dong Kyung Hee University Hospital, Kyunghee University College of Medicine, Seoul, Korea.
Abstract
- Small bowel obstructions are most commonly caused by adhesions, hernias, neoplasms or inflammatory stricture. Inflammatory pseudotumors are an uncommon cause of small bowel obstruction, even in a patient with acquired immunodeficiency syndrome (AIDS). We have experienced a case of small bowel obstruction caused by an inflammatory pseudotumor in a 38-year old male with AIDS. Abdominal computed tomography showed small bowel obstruction due to jejunal annular wall thickening. Surgical laparotomy showed a non-specific granulomatous inflammatory mass that could not fulfill any diagnostic criteria for a specific disease. This report describes our findings of small bowel obstruction due to an inflammatory pseudotumor and discusses the differential diagnosis of inflammatory pseudotumor in AIDS patients.
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