An Acute Abdominal Catastrophe in a HIV Positive Patient

We report this case of a 45-year-old man with HIV-AIDS on HAART therapy who presented with acute abdominal pain and renal failure. He was found to have pneumatosis intestinalis on computerized axial tomography scan of the abdomen. He underwent emergent explorative laparotomy, which revealed a necrot...

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Detalles Bibliográficos
Autores principales: Gaduputi, Vinaya, Patel, Harish, Vootla, Vamshidhar, Khan, Usman, Chilimuri, Sridhar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elmer Press 2012
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5051126/
https://www.ncbi.nlm.nih.gov/pubmed/27785192
http://dx.doi.org/10.4021/gr451w
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author Gaduputi, Vinaya
Patel, Harish
Vootla, Vamshidhar
Khan, Usman
Chilimuri, Sridhar
author_facet Gaduputi, Vinaya
Patel, Harish
Vootla, Vamshidhar
Khan, Usman
Chilimuri, Sridhar
author_sort Gaduputi, Vinaya
collection PubMed
description We report this case of a 45-year-old man with HIV-AIDS on HAART therapy who presented with acute abdominal pain and renal failure. He was found to have pneumatosis intestinalis on computerized axial tomography scan of the abdomen. He underwent emergent explorative laparotomy, which revealed a necrotic large bowel segment for which a right-sided hemicolectomy and ileostomy were performed. The patient subsequently developed septic shock and hypoxic respiratory failure. He expired a week after the surgical procedure. Acute abdominal events due to vascular catastrophes secondary to hypercoagulability, endothelial dysfunction and accelerated atherosclerosis have been reported in HIV positive patients.
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spelling pubmed-50511262016-10-26 An Acute Abdominal Catastrophe in a HIV Positive Patient Gaduputi, Vinaya Patel, Harish Vootla, Vamshidhar Khan, Usman Chilimuri, Sridhar Gastroenterology Res Case Report We report this case of a 45-year-old man with HIV-AIDS on HAART therapy who presented with acute abdominal pain and renal failure. He was found to have pneumatosis intestinalis on computerized axial tomography scan of the abdomen. He underwent emergent explorative laparotomy, which revealed a necrotic large bowel segment for which a right-sided hemicolectomy and ileostomy were performed. The patient subsequently developed septic shock and hypoxic respiratory failure. He expired a week after the surgical procedure. Acute abdominal events due to vascular catastrophes secondary to hypercoagulability, endothelial dysfunction and accelerated atherosclerosis have been reported in HIV positive patients. Elmer Press 2012-06 2012-05-20 /pmc/articles/PMC5051126/ /pubmed/27785192 http://dx.doi.org/10.4021/gr451w Text en Copyright 2012, Gaduputi et al. http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Gaduputi, Vinaya
Patel, Harish
Vootla, Vamshidhar
Khan, Usman
Chilimuri, Sridhar
An Acute Abdominal Catastrophe in a HIV Positive Patient
title An Acute Abdominal Catastrophe in a HIV Positive Patient
title_full An Acute Abdominal Catastrophe in a HIV Positive Patient
title_fullStr An Acute Abdominal Catastrophe in a HIV Positive Patient
title_full_unstemmed An Acute Abdominal Catastrophe in a HIV Positive Patient
title_short An Acute Abdominal Catastrophe in a HIV Positive Patient
title_sort acute abdominal catastrophe in a hiv positive patient
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5051126/
https://www.ncbi.nlm.nih.gov/pubmed/27785192
http://dx.doi.org/10.4021/gr451w
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