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KMID : 0359020070350020110
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Korean Journal of Gastrointestinal Endoscopy
2007 Volume.35 No. 2 p.110 ~ p.115
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Acute Cytomegalovirus Proctocolitis Presenting with Massive Lower Gastrointestinal Bleeding
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Lee Soo-Yeon
Choi Chang-Hwan
Lee Hyng-Woong
Do Mi-Young
Lee Seung-Hyun
Heo Chae
Kim Suk-Won
Kim Hyung-Joon
Chang Se-Kyung
Lee Tae-Jin
Oh Hwa-Eun
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Abstract
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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.
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KEYWORD
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Cytomegalovirus, Colitis, Bleeding
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