ABSTRACT
Cytomegalovirus infection of the colon is a late and severe complication in human immunodeficiency virus patients. Despite availability of medical treatment, occasional life-saving emergency surgery must be performed. The controversial surgical aspects of treatment are discussed based upon an unusual case of aseptic generalized peritonitis without perforation. The feasibility and value of limited resection are emphasized.
Subject(s)
AIDS-Related Opportunistic Infections/surgery , Colectomy , Colitis/surgery , Cytomegalovirus Infections/surgery , Peritonitis/surgery , Peritonitis/virology , AIDS-Related Opportunistic Infections/complications , AIDS-Related Opportunistic Infections/virology , Adult , Colitis/complications , Colitis/virology , Cytomegalovirus Infections/complications , Cytomegalovirus Infections/virology , Emergency Treatment , Female , Humans , Treatment OutcomeABSTRACT
In the last 10 years there has been an increased awareness of the need for improved pain management, especially in the postoperative period, to a large extent stimulated by the US Agency for Health Care Policy and Research (AHCPR), which published its clinical practice guidelineS for pain management in 1992. Teams of surgeons, nurses and anesthesiologists now are combining modalities for managing pain so as to provide the most comfortable postoperative course possible for their patients.
