Skip to main content
Log in

Gastric manifestations of aids: Radiographic findings on upper gastrointestinal examination

  • Published:
Gastrointestinal Radiology Aims and scope

Abstract

The radiographic findings in the stomach in the upper gastrointestinal examination in 11 patients with the Acquired Immune Deficiency Syndrome (AIDS) were reviewed. Four cases of Kaposi's sarcoma (KS) showed multiple submucosal nodular filling defects; in one of these cases, ulceration of some of the nodules was present. Gastric lymphoma occurred in two cases and appeared as one or several large nodular masses; one of these involved the esophagogastric junction. Five cases of infectious gastritis, caused by cytomegalovirus (CMV),Cryptosporidium, andToxoplasma, were manifested as thickened gastric folds and/or antral narrowing. Thus, in patients with AIDS, gastric neoplastic lesions can be suggested when nodular filling defects or masses are identified, whereas inflammatory processes tend to show thickened gastric folds or antral narrowing. However, endoscopic biopsy is required to enable proper treatment.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Wall SD, Ominsky S, Altaian DF, et al. Multifocal abnormalities of the gastrointestinal tract in AIDS.AJR 1986; 146:1–5

    PubMed  Google Scholar 

  2. Megibow AJ, Balthazar EJ, Hulnick DH. Radiology of nonneoplastic gastrointestinal disorders in acquired immune deficiency syndrome.Semin Roentgenol 1987; 22:31–41

    PubMed  Google Scholar 

  3. Brody JM, Miller DK, Zeman RK, et al. Gastric tuberculosis: a manifestation of acquired immunodeficiency syndrome.Radiology 1986; 159:347–348

    PubMed  Google Scholar 

  4. Smart PE, Weinfeld A, Thompson NE, Defortuna SM. Toxoplasmosis of the stomach: a cause of antral narrowing.Radiology 1990; 174:369–370

    PubMed  Google Scholar 

  5. Wall SD. Abdominal manifestations of the acquired immunodeficiency syndrome. In: Margulis AR, Goody CA, eds.Diagnostic radiology. San Francisco: University of California, 1986:257–263

    Google Scholar 

  6. Ahmed N, Nelson RS, Goldstein HM, Sinkovics JG. Kaposi's sarcoma of the stomach and duodenum: endoscopic and roentgenologic correlations.Gastrointest Endosc 1975; 21:149–152

    PubMed  Google Scholar 

  7. Bryk D, Farman J, Dallemand S, Meyers MA, Wecksell A. Kaposi's sarcoma of the intestinal tract: roentgen manifestations.Gastrointest Radiol 1978; 3:425–430

    PubMed  Google Scholar 

  8. Frager DH, Frager JD, Brandt LJ, et al. Gastrointestinal complications of AIDS: radiologic features.Radiology 1986; 158:597–603

    PubMed  Google Scholar 

  9. Rose HS, Balthazar EJ, Megibow AJ, Horowitz L, Laubenstein LJ. Alimentary tract involvement in Kaposi sarcoma: radiographic and endoscopic findings in 25 homosexual men.AJR 1982; 139:661–666

    PubMed  Google Scholar 

  10. Kaplan MH, Susin M, Pahwa SG, et al. Neoplastic complications of HTLV-III infection: lymphomas and solid tumors.Am J Med 1987; 82:389–396

    PubMed  Google Scholar 

  11. Tirelli U, Rezza G, Lazzarin A, et al. Malignant lymphoma related to HIV infection in Italy: a report of 46 cases.JAMA 1987; 258:2064

    Article  Google Scholar 

  12. Jeffrey RB Jr, Nyberg DA, Bottles K, et al. Abdominal CT in acquired immunodeficiency syndrome.AJR 1986; 146:7–13

    PubMed  Google Scholar 

  13. Nyberg DA, Federle MP. AIDS-related Kaposi sarcoma and lymphomas.Semin Roentgenol 1987; 22:54–65

    PubMed  Google Scholar 

  14. Bragg DG, Colby TV, Ward JH. New concepts in the non- Hodgkin lymphomas: radiologic implications.Radiology 1986; 159:289–304

    Google Scholar 

  15. Berk RN, Wall SD, McArdle CB, et al. Cryptosporidiosis of the stomach and small intestine in patients with AIDS.AJR 1984; 143:549–554

    PubMed  Google Scholar 

  16. Soulen MC, Fishman EK, Scatarige JC, Hutchins D, Zerhouni EA. Cryptosporidiosis of the gastric antrum: detection using CT.Radiology 1986; 159:705–706

    PubMed  Google Scholar 

  17. Teixidor HS, Honig CL, Norsoph E, Albert S, Mouradian JA, Whalen JP. Cytomegalovirus infection of the alimentary canal: radiologic findings with pathologic correlation.Radiology 1987; 163:317–323

    PubMed  Google Scholar 

  18. Balthazar EJ, Megibow AJ, Hulnick DH. Cytomegalovirus esophagitis and gastritis in AIDS.AJR 1985; 144:1201–1204

    PubMed  Google Scholar 

  19. Ayulo M, Aisner SC, Margolis K, Moravec C. Cytomegalovirus-associated gastritis in a compromised host.JAMA 1980; 243:1364

    PubMed  Google Scholar 

  20. Knapp AB, Horst DA, Eliopoulos G, et al. Widespread Cytomegalovirus gastroenterocolitis in a patient with acquired immunodeficiency syndrome.Gastroenterology 1983; 85:1399–1402

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Falcone, S., Murphy, B.J. & Weinfeld, A. Gastric manifestations of aids: Radiographic findings on upper gastrointestinal examination. Gastrointest Radiol 16, 95–98 (1991). https://doi.org/10.1007/BF01887318

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01887318

Key words

Navigation