Korean J Gastrointest Endosc.
2004 Feb;28(2):92-96.
A Case of Cytomegalovirus Gastric Ulcer Mimicking Gastric Cancer in an Immunocompetent Host
- Affiliations
-
- 1Department of Internal Medicine College of Medicine, Pochon CHA University, Sungnam, Korea. bluehipp@chol.com
- 2Department of Pathology, College of Medicine, Pochon CHA University, Sungnam, Korea.
Abstract
- A 27-year-old woman presented with epigastric pain. Abdominal computed tomography revealed an irregular ulcer with circumferential thickening of the gastric antral wall. An endoscopy suggested advanced gastric cancer or gastric lymphoma. Biopsy of the lesion showed an inclusion body of the cytomegalovirus and positive immunohistochemical staining of the infected cell for cytomegalovirus. A thorough evaluation of her immune system revealed no abnormality. General supportive treatment for gastric ulcer did not relieve her symptoms. Intravenous infusion of ganciclovir improved her symptoms and healed the ulcer. We report a case of cytomegalovirus-associated gastric ulcer mimicking malignancy in an immunocompetent woman.
