Acute Cytomegalovirus Proctocolitis Presenting with Massive Lower Gastrointestinal Bleeding / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy
; : 110-115, 2007.
Article
em Ko
| WPRIM
| ID: wpr-144472
Biblioteca responsável:
WPRO
ABSTRACT
Cytomegalovirus (CMV) colitis usually affects immunosuppressed patients. However, CMV colitis may also affect patients with a debilitation caused by a severe illness or affect patients that have a specific physiological status (old age, pregnancy). Clinically, patients with CMV colitis most commonly present with abdominal pain, diarrhea, and gastrointestinal bleeding. The diagnosis of CMV colitis usually requires a biopsy of mucosal tissue. The characteristic finding on biopsy reveals CMV inclusion bodies. CMV colitis can be successfully treated with ganciclovir. We report two cases of CMV proctocolitis in elderly patients with chronic diseases that presented with massive lower gastrointestinal bleeding due to multiple rectal ulcerations. A pathological examination showed CMV inclusion bodies. CMV colitis should be considered in the differential diagnosis of patients with massive rectal ulcer bleeding when other causes fail to explain the course of the disease.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Proctocolite
/
Úlcera
/
Biópsia
/
Dor Abdominal
/
Ganciclovir
/
Corpos de Inclusão
/
Doença Crônica
/
Colite
/
Citomegalovirus
/
Diagnóstico
Tipo de estudo:
Diagnostic_studies
Limite:
Aged
/
Humans
Idioma:
Ko
Revista:
Korean Journal of Gastrointestinal Endoscopy
Ano de publicação:
2007
Tipo de documento:
Article