A Case of a Cytomegalovirus Colitis Related Rectal Stricture Treated by Endoscopic Balloon Dilation / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy
;
: 240-244, 2010.
Article
in Korean
| WPRIM
| ID: wpr-229044
ABSTRACT
Cytomegalovirus (CMV) colitis is a common opportunistic infection in immunocompromised patients. Affected individuals present with abdominal pain, diarrhea, or hematochezia. Complications of CMV colitis can include massive bleeding, toxic megacolon, bowel perforation and, rarely, colon stricture. A 69-year-old woman who had no specific past history was admitted to the orthopedic department for pelvic bone fracture with right iliac artery rupture caused by a traffic accident. She was successfully managed with emergency transarterial coil embolization. After 2 weeks, she developed hematochezia and recurrent abdominal pain. Colonoscopy showed a huge, deep ulcer in the rectosigmoid colon. Biopsy and immunohistochemical staining revealed giant cells with intracellular inclusion bodies that were positive for CMV antigen. She received antiviral treatment after which her symptoms improved. On follow-up colonoscopy 3 months later, we found a tight luminal narrowing in the rectum. We did a repeat endoscopic balloon dilation in this patient and she experienced improvement.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Orthopedics
/
Pelvic Bones
/
Phenobarbital
/
Rectum
/
Rupture
/
Ulcer
/
Biopsy
/
Opportunistic Infections
/
Accidents, Traffic
/
Abdominal Pain
Type of study:
Observational study
/
Prognostic study
Limits:
Aged
/
Female
/
Humans
Language:
Korean
Journal:
Korean Journal of Gastrointestinal Endoscopy
Year:
2010
Type:
Article
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