Gastrointestinal infection by Mycobacterium avium with an unusual endoscopic presentation.

A 38-year-old male with medical history of HIV group C3 with voluntary abandonment of antiretroviral therapy, was hospitalized due to general deterioration, abdominal pain, diarrhea and rectal bleeding without signs of acute abdomen. The patient presented anemia, renal and hepatic dysfunction, and metabolic acidosis. Abdominal CT and CT angiography were performed without observing signs of perforation or active bleeding. In the same year, he was also diagnosed of intestinal Cryptosporidiosis, cutaneous Kaposi's sarcoma and disseminated infection by Mycobacterium avium (MA) with lung, liver and bone marrow involvement. Panendoscopy was performed, showing violaceous lesions on the soft palate. In the stomach and duodenum, he presented multiple, large, well-defined and occasionally confluent red-violet lesions Colonoscopy did not show macroscopic alterations.

Técnica quirúrgica para abordaje intraoral de quiste dermoide cervical de gran tamaño: a propósito de un caso clínico / Surgical technique for intraoral approach to a large cervical dermoid cyst: case report

Lesiones benignas de extensión submilohioidea pueden abordarse por vía intraoral, eludiendo una cicatriz cutánea y garantizando la preservación de las ramas del nervio facial. Se aborda el suelo de boca, consiguiendo una buena exposición del campo quirúrgico extirpando la glándula sublingual. Se diseca el conducto submaxilar para evitar su morbilidad. Se diseca la lesión en todos sus polos. Una vez que se encuentra completamente despegada, se vacía parcialmente de contenido para que pueda caber por la incisión que se ha realizado(AU)

Submilohyoid benign lesions can be approached intraorally, thus avoiding skin scars and ensuring the preservation of facial nerve branches. The floor of the mouth is opened and better exposure of the surgical field is achieved by removing the sublingual gland. The submandibular duct is identified and probed to prevent damage. The lesion is totally dissected and its contents removed so it could fit through the incision made(AU)