A case of CMV-induced gastric ulcer / 대한내과학회지
Korean Journal of Medicine
; : 209-214, 2009.
Article
em Ko
| WPRIM
| ID: wpr-76995
Biblioteca responsável:
WPRO
ABSTRACT
A 59-year-old female with breast cancer, who had been treated with cancer chemotherapy and radiotherapy, visited the hospital with a 2-week history of epigastric pain. Upper gastrointestinal endoscopy showed multiple ulcers with gastric hypertrophy. In the biopsy specimen, no malignant cells were observed, but some cells were positive on immunochemistry examination for cytomegalovirus (CMV). Ganciclovir was administered for 2 weeks. Her symptoms improved and the immunochemistry finding of a subsequent gastric mucosal specimen was negative. However, the lumen of the gastric antrum was too narrow for the endoscope to pass the pylorus easily. A gastric perforation resulted and was treated with total gastrectomy and esophagojejunostomy, while an endoscopic stent was inserted to allow oral intake. Here, we report a case of gastric ulcer resulting from CMV infection and stenosis as a complication in an immunosuppressant patient.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Antro Pilórico
/
Piloro
/
Úlcera Gástrica
/
Úlcera
/
Biópsia
/
Neoplasias da Mama
/
Imunoquímica
/
Ganciclovir
/
Stents
/
Endoscopia Gastrointestinal
Limite:
Female
/
Humans
Idioma:
Ko
Revista:
Korean Journal of Medicine
Ano de publicação:
2009
Tipo de documento:
Article