This is a report on five patients suffering from AIDS who underwent em
ergency abdominal surgery: One patient with gangrenous appendicitis, t
hree with a small bowel perforation and a third with a colonic bleedin
g. The first outlived the appendectomy by seven month; the second and
the third the small bowel resection by eight weeks resp. by 10 weeks.
The fourth died four weeks after hemicolectomy and a relaparotomy with
colonic resection for profuse bleeding. The fifth died because of inf
iltration of the heart by a malignant lymphoma. None of the patients d
eveloped any complications due to surgery. A review is given on emerge
ncies caused by abdominal diseases which a surgeon must be aware of in
patients with AIDS. The palliative character of surgery in these pati
ents is stressed.