title: Elective colostomy closure in an AIDS patient.
abstract: This article describes a 27-year-old patient with acquired immunodeficiency syndrome (AIDS) who underwent emergency sigmoid colostomy, Hartmann's pouch, and presacral drainage for rectal perforation. Three months later, he underwent uneventful elective colostomy closure, a procedure previously unreported in an AIDS patient. He remained without gastrointestinal symptoms for 14 months after colostomy closure until he died from central nervous system toxoplasmosis. A diagnosis of AIDS alone should not preclude colostomy closure in AIDS patients.
authors.affiliation: Georgetown University Surgery Section, DC General Hospital, Washington 20003.
authors.forename: M D
authors.initials: MD
authors.lastname: Pasquale
authors.forename: J M
authors.initials: JM
authors.lastname: Kenkel
authors.forename: R W
authors.initials: RW
authors.lastname: Holt
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D000328:Adult; D003125:Colostomy; D006801:Humans; D007416:Intestinal Perforation / Q000601:surgery*; D008297:Male; D012002:Rectal Diseases / Q000601:surgery*; D016896:Treatment Outcome