https://scholars.lib.ntu.edu.tw/handle/123456789/466033
標題: | Cytomegalovirus enteritis causing massive bleeding in a patient with AIDS | 作者: | I-RUE LAI Chen K.-M. CHIA-TUNG SHUN Chen M.-Y. |
公開日期: | 1996 | 卷: | 43 | 期: | 10 | 起(迄)頁: | 987-991 | 來源出版物: | Hepato-Gastroenterology | 摘要: | An emergency operation was performed on a 58 year-old heterosexual male patient for massive lower gastrointestinal bleeding, which was caused by cytomegalovirus (CMV) related ulceration at the terminal ileum. Pre-operative endoscopic evaluation revealed multiple esophageal and gastric ulcerations in upper gastrointestinal tract and much fresh blood in distal colon. Angiography showed vascular tufts and extravasation of contrast medium in the cecal area. Angiodysplasia of cecum with massive bleeding was initially impressed. However, CMV enteritis was identified in the resected ileum, the diagnosis of Acquired Immunodeficiency Syndrome (AIDS) was confirmed by subsequent serological tests. AIDS was unknown to treating physicians until diagnosed by pathological specimen. Massive lower gastrointestinal bleeding related to CMV ulceration in small bowel is rare, we report this unusual presentation and highlight the the suspicion of immunocompromised state of patients with unusual, multiple gastro-intestinal ulcers. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-0029835307&partnerID=40&md5=e181ab6e8f799b488190b2da52340943 https://scholars.lib.ntu.edu.tw/handle/123456789/466033 |
ISSN: | 0172-6390 | SDG/關鍵字: | contrast medium; acquired immune deficiency syndrome; adult; angiography; article; case report; clinical feature; cytomegalovirus infection; descending colon; emergency surgery; enteritis; esophagus ulcer; gastrointestinal endoscopy; gastrointestinal hemorrhage; human; ileum; male; priority journal; serology; stomach ulcer; AIDS-Related Opportunistic Infections; Cytomegalovirus Infections; Gastrointestinal Hemorrhage; Humans; Ileitis; Male; Middle Aged; Ulcer |
顯示於: | 解剖學暨細胞生物學科所 |
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