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1994-10-25
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Document 2954
DOCN M94A2954
TI Etiology of acute abdomen in AIDS patients.
DT 9412
AU Figueroa R; Espinosa RF; Santillan MA; Cruz MA; Hospital de
Infectologia, Centro Medico la Raza, Mexico City.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):187 (abstract no. PB0176). Unique
Identifier : AIDSLINE ICA10/94369621
AB OBJECTIVE: To report the clinical characteristics and the etiology of
acute abdomen in a group of AIDS patients, who had been submitted to
exploratory laparotomy. METHODS: Retrospective study compresing the
period from march 1st, 1988 to june 30, 1993, at the Hospital de
Infectologia, IMSS, in Mexico City. We reviewed the clinical records of
29 patients with diagnosis of AIDS and exploratory laparotomy. We
analyzed demographic, clinical and surgical variables. RESULTS: Twenty
eight were men and one woman. Abdominal pain was present in all
patients. Lymphopenia ocurred in 81% of the cases. The etiology of the
acute abdomen was divided in: 1) common to the general population, such
as, acute appendicitis, 2) secundary to opportunistic infections, like
intestinal perforation due to Cytomegalovirus and 3) secondary to
neoplasia, such as, non Hodgkin ulcerated and perforated lymphoma.
DISCUSSION AND CONCLUSIONS: The postoperative mortality in this cases is
associated with the etiology agent of the acute abdomen, age of the
patients and advancing of the illness. It necessary to evaluate very
carefully the AIDS patients to diagnose at the earliest surgical
complications.
DE Abdomen, Acute/*ETIOLOGY/MORTALITY/SURGERY Acquired Immunodeficiency
Syndrome/*COMPLICATIONS/MORTALITY/ SURGERY Adult AIDS-Related
Opportunistic Infections/*COMPLICATIONS/MORTALITY/ SURGERY Diagnosis,
Differential Female Human Intestinal
Neoplasms/ETIOLOGY/MORTALITY/SURGERY Intestinal
Perforation/ETIOLOGY/MORTALITY/SURGERY Lymphoma,
AIDS-Related/ETIOLOGY/MORTALITY/SURGERY Male Retrospective Studies
Survival Rate MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).