Korean J Gastrointest Endosc.  2011 Jan;42(1):33-37.

Cytomegalovirus Colitis Causing Cecal Perforation and Massive Lower Gastrointestinal Bleeding

• Jeon JW
• Cha JM
• Lee JI
• Joo KR
• Shin HP
• Park JJ
• Pack KM
• Lim JU

Abstract

Cytomegalovirus (CMV) infection is associated with significant morbidity and mortality in immunocompromised patients. It may cause serious illness including bleeding, ulceration and perforation of the gastrointestinal tract. However, bowel perforation, toxic megacolon, and massive lower gastrointestinal bleeding caused by CMV in one patient is not common. In this report, we present a case of CMV colitis causing cecal perforation and massive lower gastrointestinal bleeding in a patient with lupus nephritis. In our case, severe lower gastrointestinal bleeding developed during successful treatment of CMV infection with ganciclovir. Even though the outcome of CMV colitis has improved since ganciclovir has been available for immunocompromised patients, reductions in gastrointestinal bleeding from colonic ulcers of CMV colitis may be possible during successful treatment with ganciclovir. This case suggests the possibility of lower gastrointestinal bleeding from a colon ulcer of CMV colitis should be considered during successful treatment with ganciclovir in immunocompromised patients.

Keyword

Cytomegalovirus; Colitis; Bleeding; Perforation; Ganciclovir

MeSH Terms

Colitis
Colon
Cytomegalovirus
Ganciclovir
Gastrointestinal Tract
Hemorrhage
Humans
Immunocompromised Host
Lupus Nephritis
Megacolon, Toxic
Ulcer
Ganciclovir