Ferat E, Guzman-Valdivia G, Rosales L, Luna G, Trevino S, Nieto L, Santoscoy M; International Conference on AIDS.
Int Conf AIDS. 1998; 12: 776 (abstract no. 41172).
Hospital General Gabriel Mancera, Ditrito Federal, Mexico City, Mexico.
OBJECTIVES: To asses the utility of surgery in pts. with AIDS and abdominal disease, and to know the diseases of the abdomen that lead to surgery of patients thus having a clinical outcome. DESIGN: Prospective, longitudinal, descriptive and observational study. METHODS: Adults with AIDS having the following symptoms were included: Abdominal pain, life threating gastrointestinal bleeding (GIB), or abdominal tumor. All patients were evaluated by the same surgeon, who decided to performe surgery based on the following symptoms: Peritoneal irritation, palpable mass or specific organ disease demonstrated by imaging studies. In those cases in which there was not any specific organ disease demonstrated by imaging studies. In those cases in which there was not any specific finding, liver, ileum, and lymph node biopses were performed. Presumptive preoperative and definitive postoperative diagnosis, as well as the clinical outcome was recorded. Patients were followed for 30 days after the surgery. RESULTS: From Jan 97 to Jan 98, 25 pts were evaluated and eigthteen fullfilled the inclusion criteria. 16 were males and 2 females with and average age of 34.13 +/- 5.7. Sixteen pts were in C3 stage and two in B3. Preoperative diagnosis was: Acute abdominal pain in 9 pts; Lithiasic Cholecystitis in 2; Acalculous Cholecystitis in 2 and Tumor, Cholangitis, Appendicitis, Lower GIB and Abscess (one case each). An incidental duodenal perforation was the only transoperative complication. Four patients had to taken to surgery again because of early complications. The definitive diagnosis was: Intestinal Lymphoma in 4 pts., Mycobacterial infection in 4 (3 intestinal, 1 hepatic), Intestinal CMV in 3, and Splenic abscess, acute appendicitis, acute cholecystitis, inespecific ileitis, mesenteric adenitis and xantogranulomatous cholecystitis (one case each). There were two deaths, the rest of the patients had a satisfactory outcome. CONCLUSIONS: The most common causes of abdominal pathology in our patients, were Lymphoma, Tuberculosis and CMV. Specific diagnostic tests should be performed in order to exclude these pathologies.
Publication Types:
Keywords:
- Abdomen
- Abdomen, Acute
- Abdominal Neoplasms
- Abdominal Pain
- Abscess
- Acquired Immunodeficiency Syndrome
- Adult
- Appendicitis
- Cholangitis
- Cholecystectomy
- Cholecystitis
- Female
- Humans
- Laparoscopy
- Longitudinal Studies
- Male
- Mesenteric Lymphadenitis
- Mycobacterium Infections
- Splenic Diseases
- Tuberculosis
- methods
- surgery
Other ID:
UI: 102230821
From Meeting Abstracts