Resumen

MARTINEZ YACTAYO, Franklin, RODRIGUEZ CASTRO, Manuel y SAMALVIDES CUBA, Frine. Abdomen agudo quirúrgico en pacientes infectados con el Virus de Inmunodeficiencia Humana en el Hospital Nacional Cayetano Heredia. Rev Med Hered, oct./dic 2004, vol.15, no.4, p.188-196. ISSN 1018-130X.

Objective: To determine epidemiological, clinical and surgical characteristics of acute abdomen in patients with Human Immunodeficiency Virus infection (HIV). Material and methods: This is a retrospective and descriptive study of serial cases, was performed between 1997 and 2002 at the Hospital Nacional Cayetano Heredia. Results: We include 23 patients: 19 males and 4 females; the clinical findings was: abdominal pain, peritoneal irritation signs, fever, nausea, abdominal distention. Surgical procedures were: intestinal resection (26.1%), appendectomy (26.1%), ganglionar biopsy (21.74%), colecistectomy (17.4%), bridle and adhesion rupture (4.35%), abscess drainage (4.35%) and tumoral resection (4.35%). The pathological anatomy study was performed in 82.61%. The morbility was 56.5%, and the causes: pneumonia (26.1%), surgical injury infection (21.74%), abdominal fistula (21.74%), fever (21.74%), dehiscence surgical injury (13%), persistent diarrhea (8.7%), moderate dehydration (8.7%), paralytic ileus (4.35%) and adhesional syndrome (4.35%). 50% of intestinal resections due to intestinal perforation have abdominal fistula. The mortality was 21.74%. Conclusions: 1.82% of patients with diagnosis of Human Immunodeficiency Virus infection (HIV) had acute abdominal surgical. Surgical procedures more frequent were appendectomy and intestinal resection. The pathological anatomy study showed bacilli of Koch, Citomegalovirus and lymphoma no Hodgkin. At 26.1% of cases was performed unnecessary surgical procedures (laparotomy). Complications more frequent were: pneumonia (26.1%), injury infection (21.74%), abdominal fistula (21.74%) and fever (21.74%). The most frequent cause of mortality was septic shock. (Rev Med Hered 2004;15:188-196).

Palabras llave: Acute abdomen surgical; human immunodeficiency virus infection.