[Abdominal surgical emergencies in human immunodeficiency virus (HIV) infected patients. Apropos of 34 cases].
From September 1986 to September 1994, 34 emergency laparotomies were performed in human immunodeficiency virus (HIV) seropositive patients. Patients were divided into 2 groups. Group A included 11 HIV seropositive patients without acquired immunodeficiency syndrome (AIDS). In these patients, indications for exploration included right lower quadrant pain consistent with appendicitis in 6 patients, right upper quadrant pain consistent with cholecystitis in 3 patients, small bowel obstruction in 1 patient, and blunt abdominal trauma in 1 patient. No postoperative deaths were observed. Group B included 23 AIDS patients. Indications for exploration were diffuse peritonitis in 8 patients, right lower quadrant pain consistent with appendicitis in 6 patients, right upper quadrant pain consistent with cholecystitis in 5 patients, bowel obstruction in 2 patients, diffuse abdominal pain in 1 patient, and massive rectal hemorrhage in 1 patient. The mortality rate in this group was 35% (8 out of 23 patients). Five of the 8 patients with diffuse peritonitis died postoperatively (62%). The importance of early diagnosis and prompt surgery is emphasized to improve the prognosis in AIDS patients, because of their poor general condition and the severity of abdominal complications.
Hammoud
R
R
Service de Chirurgie Générale et Digestive, Hôpital de la Pitié, Paris.
Achrafi
H
H
Menegaux
F
F
Caumes
E
E
Gentilini
M
M
Chigot
J P
JP
D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D000208:Acute Disease; D000328:Adult; D001062:Appendectomy; D001064:Appendicitis / Q000209:etiology / Q000601:surgery*; D017081:Cholecystectomy, Laparoscopic; D002764:Cholecystitis / Q000209:etiology / Q000601:surgery*; D003082:Colectomy; D004635:Emergency Medicine; D005260:Female; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology / Q000601:surgery*; D007813:Laparotomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D010538:Peritonitis / Q000150:complications / Q000601:surgery*; D012189:Retrospective Studies
Les urgences abdominales chirurgicales chez les patients infectés par le virus d'immunodéficience humaine (VIH). A propos de 34 observations.