CMV colitis presenting as neoplastic lesions with life-threatening bleeding in an immunocompetent patient

An elderly woman with multiple medical problems developed cytomegalovirus [CMV] colitis following a prolonged hospitalization. She presented life-threatening colonic bleeding mimicking a neoplastic process while the final diagnosis was CMV colitis. This is an uncommon presentation of CMV colitis in an immunocompetent patient needing a high index of suspicion to proceed early with proper diagnosis and therapy