Bile duct-duodenal fistula caused by AIDS/HIV-associated tuberculosis
Allthough infrequent, digestive fistulae in HIV/AIDS patients have been reported throughout the digestive tract from the esophagus to the anus, with predominance of esophageal fistulae. AIDS/HIV-associated opportunistic infections may invade the digestive system and lead to fistula formation. Tuberculosis is the most common infection associated with these esophageal fistulae. We report here one case of bile duct-duodenal fistula in a female AIDS patient with associated abdominal Mycobacterium tuberculosis infection compromising lymphnodes of the hepatic pedicle where the fistula was found. According to the reviewed literature, this is the third case of bile duct-duodenal fistula associated with abdominal tuberculosis in AIDS patient, and the first where both the fistula and the tuberculosis infection were diagnosed at laparotomy for acute abdomen. Whether the AIDS patient with abdominal pain needs or not a laparotomy to treat an infectious disease is often a difficult matter for the surgeon to decide, as most of the times appropriate medical treatment will bring more benefit.
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Faculdade de Medicina / Universidade de São Paulo - FM/USP
2003
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oai:scielo:S0041-878120030004000072003-12-04Bile duct-duodenal fistula caused by AIDS/HIV-associated tuberculosisPatino,CarlosFontes,BelchorPoggetti,Renato SergioMitteldorf,CorneliusAlvarenga,ConradoBirolini,Dario Bile duct fistula Acute abdomen AIDS HIV Tuberculosis Allthough infrequent, digestive fistulae in HIV/AIDS patients have been reported throughout the digestive tract from the esophagus to the anus, with predominance of esophageal fistulae. AIDS/HIV-associated opportunistic infections may invade the digestive system and lead to fistula formation. Tuberculosis is the most common infection associated with these esophageal fistulae. We report here one case of bile duct-duodenal fistula in a female AIDS patient with associated abdominal Mycobacterium tuberculosis infection compromising lymphnodes of the hepatic pedicle where the fistula was found. According to the reviewed literature, this is the third case of bile duct-duodenal fistula associated with abdominal tuberculosis in AIDS patient, and the first where both the fistula and the tuberculosis infection were diagnosed at laparotomy for acute abdomen. Whether the AIDS patient with abdominal pain needs or not a laparotomy to treat an infectious disease is often a difficult matter for the surgeon to decide, as most of the times appropriate medical treatment will bring more benefit.info:eu-repo/semantics/openAccessFaculdade de Medicina / Universidade de São Paulo - FM/USPRevista do Hospital das Clínicas v.58 n.4 20032003-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0041-87812003000400007en10.1590/S0041-87812003000400007 |
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Patino,Carlos Fontes,Belchor Poggetti,Renato Sergio Mitteldorf,Cornelius Alvarenga,Conrado Birolini,Dario |
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Patino,Carlos Fontes,Belchor Poggetti,Renato Sergio Mitteldorf,Cornelius Alvarenga,Conrado Birolini,Dario Bile duct-duodenal fistula caused by AIDS/HIV-associated tuberculosis |
author_facet |
Patino,Carlos Fontes,Belchor Poggetti,Renato Sergio Mitteldorf,Cornelius Alvarenga,Conrado Birolini,Dario |
author_sort |
Patino,Carlos |
title |
Bile duct-duodenal fistula caused by AIDS/HIV-associated tuberculosis |
title_short |
Bile duct-duodenal fistula caused by AIDS/HIV-associated tuberculosis |
title_full |
Bile duct-duodenal fistula caused by AIDS/HIV-associated tuberculosis |
title_fullStr |
Bile duct-duodenal fistula caused by AIDS/HIV-associated tuberculosis |
title_full_unstemmed |
Bile duct-duodenal fistula caused by AIDS/HIV-associated tuberculosis |
title_sort |
bile duct-duodenal fistula caused by aids/hiv-associated tuberculosis |
description |
Allthough infrequent, digestive fistulae in HIV/AIDS patients have been reported throughout the digestive tract from the esophagus to the anus, with predominance of esophageal fistulae. AIDS/HIV-associated opportunistic infections may invade the digestive system and lead to fistula formation. Tuberculosis is the most common infection associated with these esophageal fistulae. We report here one case of bile duct-duodenal fistula in a female AIDS patient with associated abdominal Mycobacterium tuberculosis infection compromising lymphnodes of the hepatic pedicle where the fistula was found. According to the reviewed literature, this is the third case of bile duct-duodenal fistula associated with abdominal tuberculosis in AIDS patient, and the first where both the fistula and the tuberculosis infection were diagnosed at laparotomy for acute abdomen. Whether the AIDS patient with abdominal pain needs or not a laparotomy to treat an infectious disease is often a difficult matter for the surgeon to decide, as most of the times appropriate medical treatment will bring more benefit. |
publisher |
Faculdade de Medicina / Universidade de São Paulo - FM/USP |
publishDate |
2003 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0041-87812003000400007 |
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