UNUSUAL CAUSE OF PROCTORRHAGIA FOR GASTROENTEROLOGISTS: RECTAL KAPOSI’S SARCOMA
Authors: on Dina1, Octav Ginghina2, Claudia Iacobescu1, Sabina Zurac3, Rozalia Olsavszky4, Cristian Balalau5, Bianca Galateanu6, Corina Dalia Toderescu7, Carolina Negrei8 1 „Sf. Ioan“ Emergency Hospital, Gastroenterology Clinic, University of Medicine and Pharmacy „ Carol Davila“, Bucharest 2 „Sf. Ioan“ Emergency Hospital, Surgical Clinic, University of Medicine and Pharmacy „ Carol Davila“, Bucharest, Romania 3 Colentina University Hospital, Department of Pathology, University of Medicine and Pharmacy Carol Davila, Bucharest, Romania 4 „Dermestet“ Privat Practice, Bucharest, Romania 5 „Sf. Pantelimon“ Hospital Bucharest, Surgical Clinic, „Carol Davila“ University of Medicine and Pharmacy, Bucharest, Romania 6 Department of Biochemistry and Molecular Biology, University of Bucharest, Bucharest, Romania 7 „Vasile Goldis“ Western University of Arad, Faculty of Medicine, Pharmacy and Dental Medicine, Arad, Romania 8 Department of Toxicology, „Carol Davila“ University of Medicine and Pharmacy, Bucharest, Romania
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Proctorrhagia is a frequent symptom encountered in clinical practice, in primary care medicine as well as in Gastroenterology Departments. The common causes of proctorrhagia include hemorrhoids, diverticular disease, colorectal tumors, angiodysplasic lesions, inflammatory bowel diseases or rectal polyps. The main diagnostic tool for establishing the diagnosis in a patient presenting with proctorrhagia is colonoscopy associated when necessary with histological examination of biopsied specimens. Taking into account that rectum is a possible localization, the differential diagnosis should consider the biological status of the patient and should be made according to the presence or absence of immunodeficiency virus. We report a case of a young heterosexual male, previously HIV-unknown who presented for intermittent rectal blood loss and who was diagnosed after colonoscopic and histological assessment with rectal Kaposi’s sarcoma.