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infection, an important AIDS-defining opportunistic in-fection in patients with advanced HIV infection (generally those with CD4 lymphocyte counts!50 cells/mL), is associated with significant morbidity and mortality, and with shortened survival.1,2 The incidence of disseminated MAC (DMAC) infection increased during the period 1982 to 1994, with the maturation of the AIDS epidemic,3 to an estimated cumulative incidence of 15 % to 24 % of patients with AIDS.4 With the introduction of antimicrobial pro-phylaxis and highly active antiretroviral therapy (HAART), the incidence of DMAC infection dramatically declined and presented. Reported cases that include an endoscopic description are reviewed, with the aim of improving early recognition of MAC infection in the GI tract. CASE REPORT The patient, a 42-year-old, homosexual man with HIV infection diagnosed 6 years earlier, presented with a 2-month history of epigastric pain, abdominal bloating, and intermittent fever. Two months before hospitalization,6. Haber GB. Tissue glue for pancreatic fistula. Gastrointest Endosc 2004