Two cases of acute abdomen - because of acute apendicitis and paralyti
c ileus - due to cytomegalovirus infection in AIDS patients are report
ed. In both patients evolution was subacute and cytomegalic inclusions
were seen in the histologic examination of the surgical samples. The
two patients died after surgery. The possibility of cytomegalovirus In
fection must be kept in mind in AIDS patients who undergo urgent abdom
inal laparotomy and early treatment should be instituted.