Document 0848
 DOCN  M9650848
 TI    AIDS-associated intussusception in young adults.
 DT    9605
 AU    Wood BJ; Kumar PN; Cooper C; Silverman PM; Zeman RK; Department of
       Radiology, Georgetown University Medical Center,; Washington, D.C.
       20007, USA.
 SO    J Clin Gastroenterol. 1995 Sep;21(2):158-62. Unique Identifier :
       AIDSLINE MED/96064188
 AB    We have examined the changing demographics of adult intussusception and
       implicate human immunodeficiency virus (HIV)- and acquired immune
       deficiency syndrome (AIDS)-associated gastrointestinal pathology as risk
       factors for intussusception in young adults. The clinical index of
       suspicion for intussusception should be raised for an HIV-positive young
       adult with intermittent crampy abdominal pain. Over a 10-year period,
       eight cases of adult intussusception were diagnosed at our institution,
       and we reviewed the diagnostic computed tomography (CT) scans and
       records of these patients to correlate them with radiological studies,
       clinical history, surgical findings, laboratory studies, pathologic
       analysis, and outcome. Three of the eight patients with adult
       intussusception had AIDS, all diagnosed by CT scans. Their average age
       was 41 years, whereas average age of the non-HIV-associated patients was
       63. These findings suggest that HIV- and AIDS-associated
       gastrointestinal pathology provide lead points for intussusception and
       are significant risk factors for intussusception in young adults. We
       reviewed the five previously reported cases of AIDS and intussusception
       and conclude that intussusception should be a diagnostic consideration
       in an HIV-positive young adult with abdominal complaints. It is clear
       that AIDS-associated intussusception is a real clinical problem and that
       CT is an effective method of diagnosing it.
 DE    Acquired Immunodeficiency Syndrome/*COMPLICATIONS  Adult  Female  Human
       Intussusception/*COMPLICATIONS/RADIOGRAPHY  Male  Middle Age
       Tomography, X-Ray Computed  JOURNAL ARTICLE

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