Acute abdomen in the immunocompromised patient: WSES, SIS-E, WSIS, AAST, and GAIS guidelines

Author:

Coccolini FedericoORCID,Improta Mario,Sartelli Massimo,Rasa Kemal,Sawyer Robert,Coimbra Raul,Chiarugi Massimo,Litvin Andrey,Hardcastle Timothy,Forfori Francesco,Vincent Jean-Louis,Hecker Andreas,Ten Broek Richard,Bonavina Luigi,Chirica Mircea,Boggi Ugo,Pikoulis Emmanuil,Di Saverio Salomone,Montravers Philippe,Augustin Goran,Tartaglia Dario,Cicuttin Enrico,Cremonini Camilla,Viaggi Bruno,De Simone Belinda,Malbrain Manu,Shelat Vishal G.,Fugazzola Paola,Ansaloni Luca,Isik Arda,Rubio Ines,Kamal Itani,Corradi Francesco,Tarasconi Antonio,Gitto Stefano,Podda Mauro,Pikoulis Anastasia,Leppaniemi Ari,Ceresoli Marco,Romeo Oreste,Moore Ernest E.,Demetrashvili Zaza,Biffl Walter L.,Wani Imitiaz,Tolonen Matti,Duane Therese,Dhingra Sameer,DeAngelis Nicola,Tan Edward,Abu-Zidan Fikri,Ordonez Carlos,Cui Yunfeng,Labricciosa Francesco,Perrone Gennaro,Di Marzo Francesco,Peitzman Andrew,Sakakushev Boris,Sugrue Michael,Boermeester Marja,Nunez Ramiro Manzano,Gomes Carlos Augusto,Bala Miklosh,Kluger Yoram,Catena Fausto

Abstract

AbstractImmunocompromised patients are a heterogeneous and diffuse category frequently presenting to the emergency department with acute surgical diseases. Diagnosis and treatment in immunocompromised patients are often complex and must be multidisciplinary. Misdiagnosis of an acute surgical disease may be followed by increased morbidity and mortality. Delayed diagnosis and treatment of surgical disease occur; these patients may seek medical assistance late because their symptoms are often ambiguous. Also, they develop unique surgical problems that do not affect the general population. Management of this population must be multidisciplinary.This paper presents the World Society of Emergency Surgery (WSES), Surgical Infection Society Europe (SIS-E), World Surgical Infection Society (WSIS), American Association for the Surgery of Trauma (AAST), and Global Alliance for Infection in Surgery (GAIS) joined guidelines about the management of acute abdomen in immunocompromised patients.

Publisher

Springer Science and Business Media LLC

Subject

Emergency Medicine,Surgery

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