Ileal Histoplasmoma in a Patient Infected with the Human Immunodeficiency Virus (HIV)

  • Augusto Inocente Licetti Jefe de Servicio de Anatomía Patológica
  • Juan Aguirre Navarro Médico Asistente del Servicio de Patología
  • Rosana Torres Alvarado Médico Asistente del Servicio de Patología
  • Yuri Sifuentes Horna Hospital Nacional E. Sergio Bernales
  • Eduardo Salas Vargas Hospital Nacional E. Sergio Bernales
Keywords: Mycoses, histoplasmosis

Abstract

We report a case of a 23-year old HIV-infected man who presented to the Emergency Department with abdominal pain, chronic diarrhea and weight loss of two months duration. A plain X-ray film of the abdomen showed dilated small bowel loops with air- fluid levels, ultrasonography of the abdomen showed intestinal dilatation and the presence of fluid in the abdominal cavity. After 8 days being hospitalized we decided to perform surgery in this patient, because of the development of peritoneal signs. We performed an exploratory laparotomy, where a perforation 40-cm distant from the ileo-cecal valve was found, surrounded by a tumoral mass. The lesion was excised and the pathology examination showed the presence of chronic inflammation and tissue repair, with a severe lymphocyte, plasma cells and macrophage infiltration was found, compatible with histoplasmosis. This condition was confirmed when the samples were stained using PAS. Intestinal histoplasmoma is a pseudotumoral lesion that may be found in patients with disseminated histoplasmosis and immune suppression.

Downloads

Download data is not yet available.
Published
2012-12-28
How to Cite
1.
Inocente Licetti A, Aguirre Navarro J, Torres Alvarado R, Sifuentes Horna Y, Salas Vargas E. Ileal Histoplasmoma in a Patient Infected with the Human Immunodeficiency Virus (HIV). Acta Med Peru [Internet]. 2012Dec.28 [cited 2022Aug.8];29(4):194-6. Available from: https://amp.cmp.org.pe/index.php/AMP/article/view/1216
Section
CASE REPORTS