Appendicitis in acquired immunodeficiency syndrome
Reports in the surgical literature are few regarding common intra-abdominal disease processes, such as gallstone disease or appendicitis, in patients with AIDS and instead have focused on AIDS-related intra-abdominal diseases that infrequently require surgical intervention unless complicated by blee...
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| Veröffentlicht in: | The American journal of surgery 1992-11, Vol.164 (5), p.467-471 |
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| container_title | The American journal of surgery |
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| creator | Whitney, Timothy M. Macho, James R. Russell, Thomas R. Bossart, K. Jan Heer, F. William Schecter, William P. |
| description | Reports in the surgical literature are few regarding common intra-abdominal disease processes, such as gallstone disease or appendicitis, in patients with AIDS and instead have focused on AIDS-related intra-abdominal diseases that infrequently require surgical intervention unless complicated by bleeding, obstruction, or perforation. A literature review for appendicitis in AIDS patients revealed only 30 well-documented cases drawn from 13 studies, with a 40% perforation rate and frequent delays and errors in diagnosis. A 7-year experience with 28 patients with appendicitis and AIDS from 4 urban San Francisco hospitals is reviewed. There were no perioperative deaths and an 18% postoperative complication rate. Five patients (18%) were found to have normal appendices with other intra-abdominal pathology, and an AIDS-related etiology for appendicitis was discovered in 7 of 23 patients with appendicitis (30%). With the exception of diffuse versus localized abdominal pain, no preoperative symptom or sign was useful in differentiating AIDS-related and non-AIDS-related disease. Aggressive use of ultrasound and abdominal computed tomographic scanning, along with early surgical intervention, is recommended. |
| doi_str_mv | 10.1016/S0002-9610(05)81182-1 |
| format | Article |
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Jan ; Heer, F. William ; Schecter, William P.</creator><creatorcontrib>Whitney, Timothy M. ; Macho, James R. ; Russell, Thomas R. ; Bossart, K. Jan ; Heer, F. William ; Schecter, William P.</creatorcontrib><description>Reports in the surgical literature are few regarding common intra-abdominal disease processes, such as gallstone disease or appendicitis, in patients with AIDS and instead have focused on AIDS-related intra-abdominal diseases that infrequently require surgical intervention unless complicated by bleeding, obstruction, or perforation. A literature review for appendicitis in AIDS patients revealed only 30 well-documented cases drawn from 13 studies, with a 40% perforation rate and frequent delays and errors in diagnosis. A 7-year experience with 28 patients with appendicitis and AIDS from 4 urban San Francisco hospitals is reviewed. There were no perioperative deaths and an 18% postoperative complication rate. Five patients (18%) were found to have normal appendices with other intra-abdominal pathology, and an AIDS-related etiology for appendicitis was discovered in 7 of 23 patients with appendicitis (30%). With the exception of diffuse versus localized abdominal pain, no preoperative symptom or sign was useful in differentiating AIDS-related and non-AIDS-related disease. Aggressive use of ultrasound and abdominal computed tomographic scanning, along with early surgical intervention, is recommended.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/S0002-9610(05)81182-1</identifier><identifier>PMID: 1332523</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Abdomen ; Abdominal diseases ; Acquired immune deficiency syndrome ; Acquired Immunodeficiency Syndrome - complications ; Adult ; AIDS ; AIDS-Related Opportunistic Infections - complications ; AIDS/HIV ; Appendicitis ; Appendicitis - complications ; Appendicitis - physiopathology ; Appendicitis - surgery ; Appendix ; Calculi ; Colitis - complications ; Colitis - microbiology ; Complications ; Computed tomography ; Cytomegalovirus Infections - complications ; Disease ; Female ; Follow-Up Studies ; Humans ; Immunodeficiency ; Laparotomy ; Literature reviews ; Male ; Middle Aged ; Postoperative ; Postoperative Complications ; Retrospective Studies ; Time Factors</subject><ispartof>The American journal of surgery, 1992-11, Vol.164 (5), p.467-471</ispartof><rights>1992 Reed Publishing USA</rights><rights>1992. Reed Publishing USA</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c388t-1516c79d0ae6a2ee59f904d8119cddece50f367c48cb35fba4e653f21e8797ac3</citedby><cites>FETCH-LOGICAL-c388t-1516c79d0ae6a2ee59f904d8119cddece50f367c48cb35fba4e653f21e8797ac3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0002961005811821$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65534</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1332523$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Whitney, Timothy M.</creatorcontrib><creatorcontrib>Macho, James R.</creatorcontrib><creatorcontrib>Russell, Thomas R.</creatorcontrib><creatorcontrib>Bossart, K. Jan</creatorcontrib><creatorcontrib>Heer, F. William</creatorcontrib><creatorcontrib>Schecter, William P.</creatorcontrib><title>Appendicitis in acquired immunodeficiency syndrome</title><title>The American journal of surgery</title><addtitle>Am J Surg</addtitle><description>Reports in the surgical literature are few regarding common intra-abdominal disease processes, such as gallstone disease or appendicitis, in patients with AIDS and instead have focused on AIDS-related intra-abdominal diseases that infrequently require surgical intervention unless complicated by bleeding, obstruction, or perforation. A literature review for appendicitis in AIDS patients revealed only 30 well-documented cases drawn from 13 studies, with a 40% perforation rate and frequent delays and errors in diagnosis. A 7-year experience with 28 patients with appendicitis and AIDS from 4 urban San Francisco hospitals is reviewed. There were no perioperative deaths and an 18% postoperative complication rate. Five patients (18%) were found to have normal appendices with other intra-abdominal pathology, and an AIDS-related etiology for appendicitis was discovered in 7 of 23 patients with appendicitis (30%). With the exception of diffuse versus localized abdominal pain, no preoperative symptom or sign was useful in differentiating AIDS-related and non-AIDS-related disease. Aggressive use of ultrasound and abdominal computed tomographic scanning, along with early surgical intervention, is recommended.</description><subject>Abdomen</subject><subject>Abdominal diseases</subject><subject>Acquired immune deficiency syndrome</subject><subject>Acquired Immunodeficiency Syndrome - complications</subject><subject>Adult</subject><subject>AIDS</subject><subject>AIDS-Related Opportunistic Infections - complications</subject><subject>AIDS/HIV</subject><subject>Appendicitis</subject><subject>Appendicitis - complications</subject><subject>Appendicitis - physiopathology</subject><subject>Appendicitis - surgery</subject><subject>Appendix</subject><subject>Calculi</subject><subject>Colitis - complications</subject><subject>Colitis - microbiology</subject><subject>Complications</subject><subject>Computed tomography</subject><subject>Cytomegalovirus Infections - complications</subject><subject>Disease</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Immunodeficiency</subject><subject>Laparotomy</subject><subject>Literature reviews</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Postoperative</subject><subject>Postoperative Complications</subject><subject>Retrospective Studies</subject><subject>Time Factors</subject><issn>0002-9610</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1992</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkE1LAzEURYMotVZ_QmFAEF2M5iWTSWYlpfgFBRfqOkyTN5DS-TDpCP33pp2i4MZVCPfk5r1DyBToLVDI794opSwtcqDXVNwoAMVSOCJjULJIQSl-TMY_yCk5C2EVrwAZH5ERcM4E42PCZl2HjXXGbVxIXJOU5rN3Hm3i6rpvWotVzLAx2yRsG-vbGs_JSVWuA14czgn5eHx4nz-ni9enl_lskRqu1CYFAbmRhaUl5iVDFEVV0MzGQQtjLRoUtOK5NJkySy6qZZlhLnjFAOMCsjR8Qq6G3s63nz2Gja5dMLhelw22fdCSc0FZARG8_AOu2t43cTbNVCazvMikjJQYKOPbEDxWuvOuLv1WA9U7o3pvVO90aSr03qjetU8P7f2yRvv7alAY8_shx-jiy6HXYS8MbdRoNtq27p8fvgFqfIST</recordid><startdate>19921101</startdate><enddate>19921101</enddate><creator>Whitney, Timothy M.</creator><creator>Macho, James R.</creator><creator>Russell, Thomas R.</creator><creator>Bossart, K. 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William ; Schecter, William P.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c388t-1516c79d0ae6a2ee59f904d8119cddece50f367c48cb35fba4e653f21e8797ac3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1992</creationdate><topic>Abdomen</topic><topic>Abdominal diseases</topic><topic>Acquired immune deficiency syndrome</topic><topic>Acquired Immunodeficiency Syndrome - complications</topic><topic>Adult</topic><topic>AIDS</topic><topic>AIDS-Related Opportunistic Infections - complications</topic><topic>AIDS/HIV</topic><topic>Appendicitis</topic><topic>Appendicitis - complications</topic><topic>Appendicitis - physiopathology</topic><topic>Appendicitis - surgery</topic><topic>Appendix</topic><topic>Calculi</topic><topic>Colitis - complications</topic><topic>Colitis - microbiology</topic><topic>Complications</topic><topic>Computed tomography</topic><topic>Cytomegalovirus Infections - complications</topic><topic>Disease</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Immunodeficiency</topic><topic>Laparotomy</topic><topic>Literature reviews</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Postoperative</topic><topic>Postoperative Complications</topic><topic>Retrospective Studies</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Whitney, Timothy M.</creatorcontrib><creatorcontrib>Macho, James R.</creatorcontrib><creatorcontrib>Russell, Thomas R.</creatorcontrib><creatorcontrib>Bossart, K. 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| identifier | ISSN: 0002-9610 |
| ispartof | The American journal of surgery, 1992-11, Vol.164 (5), p.467-471 |
| issn | 0002-9610 1879-1883 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Abdomen Abdominal diseases Acquired immune deficiency syndrome Acquired Immunodeficiency Syndrome - complications Adult AIDS AIDS-Related Opportunistic Infections - complications AIDS/HIV Appendicitis Appendicitis - complications Appendicitis - physiopathology Appendicitis - surgery Appendix Calculi Colitis - complications Colitis - microbiology Complications Computed tomography Cytomegalovirus Infections - complications Disease Female Follow-Up Studies Humans Immunodeficiency Laparotomy Literature reviews Male Middle Aged Postoperative Postoperative Complications Retrospective Studies Time Factors |
| title | Appendicitis in acquired immunodeficiency syndrome |
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