HIV infection complicated by a gastric stromal tumor with liver metastasis: Perioperative patient management

Abstract

Gastric stromal tumors complicated by acquired immunodeficiency syndrome (AIDS) are rare in clinical practice. This case report describes a gastric stromal tumor case complicated by AIDS and liver metastasis admitted to Nanchang Ninth Hospital. The patient was admitted due to a 20-day abdominal mass and an 8-day human immunodeficiency virus (HIV) antibody positivity. Previous computerized tomography imaging had shown a mass in the posterior stomach wall, and the possibility of a stromal tumor complicated by tumor stroke was considered. Partial gastrectomy with gastroduodenostomy, partial hepatectomy, and abdominal adhesiolysis was performed under endotracheal intubation with intravenous and inhalation anesthesia. Perioperative anesthesia was managed by conventional procedures with special consideration for AIDS patients. The pre-anesthesia visit, anesthesia induction, anesthesia maintenance, recovery, and postoperative analgesia process of this patient are described.
(Am J Transl Med 2022. 6(2):87-93).