Deziel D J, Saclarides T J, Marshall J S, Yaremko L M
Department of Surgery, Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois.
Am J Gastroenterol. 1991 Jul;86(7):901-3.
These case reports describe two patients with acquired immune deficiency syndrome (AIDS) who presented with acute right lower quadrant pain. Appendiceal involvement with Kaposi's sarcoma accounted for the clinical presentation, and was confirmed histologically. This association emphasizes the diagnostic confusion that may be caused by acute abdominal conditions in the AIDS population. Abdominal pain may result from AIDS-related or unrelated processes; appropriate operative intervention requires recognition of the various diagnostic possibilities.
这些病例报告描述了两名获得性免疫缺陷综合征(艾滋病)患者,他们表现为急性右下腹疼痛。阑尾受累合并卡波西肉瘤是临床表现的原因,并经组织学证实。这种关联强调了艾滋病患者急性腹部疾病可能引起的诊断混淆。腹痛可能由与艾滋病相关或不相关的过程引起;适当的手术干预需要认识到各种诊断可能性。