Study on Acute Abdomen In HIV Infected Patients
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 4
Abstract
Aim: To establish the causes of acute abdomen in HIV infected patients, the treatment modalities and outcome of surgical intervention in these patients Materials And Methods: This is a prospective study on HIV infected patients presenting with acute abdomen to the emergency dept of Gandhi Hospital over a period of 3 years from May 2011 to April 2014. Results: In our study 114/136 (83.8%) male patients and 22/136 (16.2%) female patients are included. No. of patients operated 85( 62.5% ) and conservatively treated 51 ( 37.5% ) Appendicitis (including perforation) is the most common cause of acute abdomen in HIV positive patients constituting 23.5% of total cases. Conclusion: CD4count was a significant prognostic factor deciding postoperative recovery of patients. Asymptomatic HIV-infected patients recover well from surgery and do not appear to suffer delayed healing. 11 Laparoscopy might be an important tool in the evaluation of these patients with acute abdomen which can overcome the diagnostic dilemma and ensure an effective management14
Authors and Affiliations
Dr. M. Ramya, Dr. S. Nareshkumar
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