{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T23:45:27Z","timestamp":1782603927593,"version":"3.54.5"},"reference-count":17,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,8,4]]},"abstract":"<jats:p>Kaposi\u2019s sarcoma is a fatal disease that typically presents with cutaneous manifestations in immunocompromised individuals. There are a small number of documented cases where patients diagnosed with this disease present without cutaneous lesions. We present a 35-year-old man with recurrent rectal abscesses and fistula-in-ano, which required multiple drainage procedures. Further investigation revealed a diagnosis of HIV-AIDS, and biopsy of a rectal mass confirmed the diagnosis of visceral Kaposi\u2019s sarcoma, despite the absence of cutaneous involvement. Workup revealed hepatic metastasis and a second pulmonary primary malignancy. The patient denied chemotherapy or further intervention and was subsequently lost to follow-up. Prompt diagnosis of Kaposi\u2019s sarcoma and initiation of treatment is vital to decrease disease progression. A high index of suspicion should be present in immunocompromised patients, and clinicians must recognise atypical presentations in order to improve long-term survival.<\/jats:p>","DOI":"10.1136\/bcr-2018-225749","type":"journal-article","created":{"date-parts":[[2018,8,21]],"date-time":"2018-08-21T04:17:49Z","timestamp":1534825069000},"page":"bcr-2018-225749","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Non-cutaneous AIDS-associated Kaposi\u2019s sarcoma presenting as recurrent rectal abscesses"],"prefix":"10.1136","volume":"2018","author":[{"given":"Steven","family":"Schulberg","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vanessa","family":"Al-Feghali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Bain","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josef","family":"Shehebar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2018,8,20]]},"reference":[{"key":"2025042705582443000_2018.aug20_1.bcr-2018-225749.1","first-page":"31","article-title":"Disseminated Kaposi\u2019s sarcoma without cutaneous involvement","volume":"27","author":"Shepard","year":"2014","journal-title":"Proc"},{"key":"2025042705582443000_2018.aug20_1.bcr-2018-225749.2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2407-8-190"},{"key":"2025042705582443000_2018.aug20_1.bcr-2018-225749.3","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdj091"},{"key":"2025042705582443000_2018.aug20_1.bcr-2018-225749.4","doi-asserted-by":"publisher","DOI":"10.1177\/0956462413487517"},{"key":"2025042705582443000_2018.aug20_1.bcr-2018-225749.5","doi-asserted-by":"crossref","first-page":"6","DOI":"10.5070\/D373F3C28P","article-title":"A case of Kaposi sarcoma mimicking nephrogenic systemic fibrosis","volume":"15","author":"Venkatarajan","year":"2009","journal-title":"Dermatol Online J"},{"key":"2025042705582443000_2018.aug20_1.bcr-2018-225749.6","doi-asserted-by":"crossref","unstructured":"Kumar A , Nautsch D . Kaposi\u2019s sarcoma of the rectum in a homosexual male with HIV-AIDS. ACG Case Rep J 2016;3.doi:10.14309\/crj.2016.165","DOI":"10.14309\/crj.2016.165"},{"key":"2025042705582443000_2018.aug20_1.bcr-2018-225749.7","doi-asserted-by":"publisher","DOI":"10.1136\/gut.28.10.1302"},{"key":"2025042705582443000_2018.aug20_1.bcr-2018-225749.8","doi-asserted-by":"publisher","DOI":"10.5402\/2012\/823605"},{"key":"2025042705582443000_2018.aug20_1.bcr-2018-225749.9","first-page":"232470961771351","article-title":"Kaposi sarcoma mimicking acute flare of ulcerative colitis","volume":"5","author":"Kumar","year":"2017","journal-title":"J Investig Med High Impact Case Rep"},{"key":"2025042705582443000_2018.aug20_1.bcr-2018-225749.10","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1186\/1477-7819-6-94","article-title":"Primary Kaposi sarcoma of the subcutaneous tissue","volume":"6","author":"Pantanowitz","year":"2008","journal-title":"World J Surg Oncol"},{"key":"2025042705582443000_2018.aug20_1.bcr-2018-225749.11","doi-asserted-by":"crossref","first-page":"e0182750","DOI":"10.1371\/journal.pone.0182750","article-title":"Disparities in Kaposi sarcoma incidence and survival in the United States: 2000-2013","volume":"12","author":"Royse","year":"2017","journal-title":"PLoS One"},{"key":"2025042705582443000_2018.aug20_1.bcr-2018-225749.12","doi-asserted-by":"crossref","first-page":"1169","DOI":"10.1089\/aid.2016.0092","article-title":"Unusual presentation of human immunodeficiency virus-related kaposi\u2019s sarcoma","volume":"32","author":"Montinari","year":"2016","journal-title":"AIDS Res Hum Retroviruses"},{"key":"2025042705582443000_2018.aug20_1.bcr-2018-225749.13","doi-asserted-by":"publisher","DOI":"10.1186\/1746-1596-3-31"},{"key":"2025042705582443000_2018.aug20_1.bcr-2018-225749.14","doi-asserted-by":"crossref","unstructured":"Gbabe OF , Okwundu CI , Dedicoat M , et al . Treatment of severe or progressive Kaposi\u2019s sarcoma in HIV-infected adults. Cochrane Database Syst Rev 2014;8.","DOI":"10.1002\/14651858.CD003256.pub2"},{"key":"2025042705582443000_2018.aug20_1.bcr-2018-225749.15","doi-asserted-by":"publisher","DOI":"10.1098\/rstb.2016.0275"},{"key":"2025042705582443000_2018.aug20_1.bcr-2018-225749.16","doi-asserted-by":"crossref","first-page":"198","DOI":"10.3390\/v8070198","article-title":"KSHV-Mediated angiogenesis in tumor progression","volume":"8","author":"Purushothaman","year":"2016","journal-title":"Viruses"},{"key":"2025042705582443000_2018.aug20_1.bcr-2018-225749.17","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2013.51.6757"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-225749","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T12:58:34Z","timestamp":1745758714000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-225749"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,8,20]]},"references-count":17,"alternative-id":["10.1136\/bcr-2018-225749"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-225749","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,8,20]]}}}