Barone J E, Gingold B S, Arvanitis M L, Nealon T F
Ann Surg. 1986 Dec;204(6):619-23. doi: 10.1097/00000658-198612000-00001.
The patient with acquired immune deficiency syndrome (AIDS) and abdominal pain presents the surgeon with a difficult challenge. The pain may be due to an opportunistic infection, ileus, organomegaly, or a true surgical emergency. The hospital records of 235 patients with AIDS were reviewed. Of the 29 patients with abdominal pain, 12 had infectious diarrhea, eight were diagnosed as having ileus or organomegaly, and nine had miscellaneous causes for their pain. Only five patients underwent laparotomy. Two patients were operated on for pain associated with bleeding (Meckel's diverticulum and intestinal Kaposi's sarcoma); one had a perforated duodenal ulcer and one had severe ileitis. One patient was electively operated on for Burkitt's lymphoma. Laparotomy for abdominal pain is not usually necessary in patients with AIDS. Specific recommendations for evaluation and management of these patients are offered.
患有获得性免疫缺陷综合征（艾滋病）且伴有腹痛的患者给外科医生带来了艰巨的挑战。疼痛可能是由机会性感染、肠梗阻、器官肿大或真正的外科急症引起的。回顾了235例艾滋病患者的医院记录。在29例腹痛患者中，12例患有感染性腹泻，8例被诊断为肠梗阻或器官肿大，9例疼痛原因各异。只有5例患者接受了剖腹手术。2例因出血相关疼痛（梅克尔憩室和肠道卡波西肉瘤）接受手术；1例患有十二指肠溃疡穿孔，1例患有严重回肠炎。1例因伯基特淋巴瘤接受了择期手术。艾滋病患者腹痛通常无需进行剖腹手术。文中给出了对这些患者进行评估和管理的具体建议。
