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Diseases of the Colon & Rectum

, Volume 31, Issue 10, pp 755–761 | Cite as

Emergency colectomy for cytomegalovirus ileocolitis in patients with the acquired immune deficiency syndrome

  • Steven D. Wexner
  • William B. Smithy
  • Carlos Trillo
  • B. Smith Hopkins
  • Thomas H. Dailey
Original Contributions

Abstract

The charts of all patients with the acquired immune deficiency syndrome (AIDS) who underwent emergency intra-abdominal surgery between January 1981 and July 1987 were reviewed. Eleven AIDS patients underwent 13 emergency laparotomies. Seven of these patients (64 percent) had cytomegalovirus (CMV) ileocolitis as the pathologic process requiring emergent surgical intervention. Four patients had hemorrhagic CMV proctocolitis and three had perforations of CMV ulcers of the ileum or rectosigmoid. The operations performed included three subtotal colectomies, two segmental resections, and two diverting stomas. The postoperative mortality rate in the CMV group was 28 percent at one day, 71 percent at one month, and 86 percent at six months. Furthermore, CMV ileocolonic pathology was directly responsible for 70 percent of the deaths in AIDS patients who underwent emergent exploratory laparotomy.

Key words

Acquired immune deficiency syndrome (AIDS) Cytomegalovirus (CMV) Ulcer Colitis Enteritis Colectomy Gastrointestinal bleeding 

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Copyright information

© American Society of Colon and Rectal Surgeons 1988

Authors and Affiliations

  • Steven D. Wexner
    • 1
  • William B. Smithy
    • 1
  • Carlos Trillo
    • 1
  • B. Smith Hopkins
    • 1
  • Thomas H. Dailey
    • 1
  1. 1.Division of Colon and Rectal SurgeryThe Roosevelt HospitalNew York

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