Elisa Jiménez-Rivera, Departament of General Surgery and Minimal Invasion, Hospital Regional de Alta Especialidad de Oaxaca, San Bartolo Coyotepec, Oaxaca, Mexico Ediel O. Dávila-Ruiz, Department of General Surgery, Hospital Regional de Alta Especialidad de Oaxaca, Secretaria de Salud, San Bartolo Coyotepec, Oaxaca, Mexico Roberto A. García-Manzano, Department of General Surgery, Hospital Regional de Alta Especialidad de Oaxaca, Secretaria de Salud, San Bartolo Coyotepec, Oaxaca, Mexico Gustavo A. Santos-Chab, Departament of General Surgery and Minimal Invasion, Hospital Regional de Alta Especialidad de Oaxaca, San Bartolo Coyotepec, Oaxaca, Mexico José M. Aguirre-Trejo, Departament of General Surgery and Minimal Invasion, Hospital Regional de Alta Especialidad de Oaxaca, San Bartolo Coyotepec, Oaxaca, Mexico Javier Fabián Fabián, Departament of General Surgery and Minimal Invasion, Hospital Regional de Alta Especialidad de Oaxaca, San Bartolo Coyotepec, Oaxaca, Mexico Fabián Tafoya-Ramirez, Departament of de Anatomy Pathology. Hospital Regional de Alta Especialidad de Oaxaca, San Bartolo Coyotepec, Oaxaca, Mexico


Small bowel bleeding (SBB) accounts for 5-10% of patients with gastrointestinal bleeding and its association is unusual in patients with histoplasmosis. The incidence of gastrointestinal histoplasmosis is unknown since only 3-12% present symptoms, predominantly in immunocompromised patients. However, in immunocompetent hosts, it is reported only in 0.05% of cases. A clinical case of an immunocompetent patient with massive SBB, Grade IV hypovolemic shock associated with systemic histoplasmosis and treated with intestinal resection and amphotericin B is hereby discussed.



Keywords: Intestinal histoplasmosis; Disseminated histoplasmosis; Small bowel bleeding