Acute Abdomen and HIV Infection

作者: Christophoros Kosmidis , Georgios Anthimidis , Kalliopi Vasiliadou

DOI: 10.5772/23981

关键词:

摘要: Abdominal pain in the HIV-infected patient is a common complaint which constitutes complicated diagnostic and therapeutic problem. Even though need for surgical intervention HIV/AIDS with abdominal complaints low, general surgeon will often be called upon to evaluate patients, as result of complexity interpretation clinical findings. Once consulted, surgeon’s dilemma distinguishing conditions do not require surgery from surgically treatable pathology and, above all, true emergencies. Emergent operation by itself predisposes AIDS an increased mortality risk 1,2,3,4. On other hand, delayed diagnosis late exploration morbidity 5. Although profound immunodeficiency associated poor prognosis, asymptomatic patients recover well appear suffer healing 6,7. Yet, new antiviral therapy operative has dropped much necessary emergency riskbenefit analysis now more favour laparotomy 5,8,9.

参考文章(53)
LaRaja Rd, Mueller Sc, Odom Jw, Rothenberg Re, The incidence of intra-abdominal surgery in acquired immunodeficiency syndrome: a statistical review of 904 patients. Surgery. ,vol. 105, pp. 175- 179 ,(1989)
Karoly Balogh, Frank Pomposelli, Scott Hammer, William Jensen, George Burke, Roger Jenkins, Larry Nichols, Perforation of the terminal ileum with cytomegalovirus vasculitis and Kaposi's sarcoma in a patient with acquired immunodeficiency syndrome. Surgery. ,vol. 102, pp. 540- 545 ,(1987)
I. J. Koralnik, Bernard Hirschel, Neurological complication of human immunodeficiency virus infection Presse Medicale. ,vol. 20, pp. 1129- 1135 ,(1991)
Walter Wiesner, Koenraad J. Mortelé, Jonathan N. Glickman, Hoon Ji, Pablo R. Ros, Pneumatosis Intestinalis and Portomesenteric Venous Gas in Intestinal Ischemia American Journal of Roentgenology. ,vol. 177, pp. 1319- 1323 ,(2001) , 10.2214/AJR.177.6.1771319
Philip Nugent, The Surgeon's Role in Treating Acquired Immunodeficiency Syndrome Archives of Surgery. ,vol. 121, pp. 1117- 1120 ,(1986) , 10.1001/ARCHSURG.1986.01400100023003
Nathan I Shapiro, David J Karras, Stephen H Leech, Katherine L Heilpern, Absolute Lymphocyte Count as a Predictor of CD4 Count Annals of Emergency Medicine. ,vol. 32, pp. 323- 328 ,(1998) , 10.1016/S0196-0644(98)70008-3
Stephen P Blatt, Catherine R Lucey, Clifford A Butzin, Craig W Hendrix, Daniel R Lucey, None, Total Lymphocyte Count as a Predictor of Absolute CD4+ Count and CD4+ Percentage in HIV-lnfected Persons JAMA: The Journal of the American Medical Association. ,vol. 269, pp. 622- 626 ,(1993) , 10.1001/JAMA.1993.03500050100034
Timothy M. Whitney, James R. Macho, Thomas R. Russell, K. Jan Bossart, F. William Heer, William P. Schecter, Appendicitis in acquired immunodeficiency syndrome. American Journal of Surgery. ,vol. 164, pp. 467- 471 ,(1992) , 10.1016/S0002-9610(05)81182-1