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

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