Korean J Gastrointest Endosc > Volume 18(6); 1998 > Article
Korean Journal of Gastrointestinal Endoscopy 1998;18(6): 931-936.
증례 : 식도 위장관 ; 후천성 면역 부전 환자에서 거대세포바이러스 감염과 관련된 회장 천공 1예 ( Case Reports : Esophagus , Stomach & Intestine ; A Case of Ileal Perforation Associated with Cytomegaloviral Enteritis in a Patient with Acquired Immune Deficiency Syndrome )
이숙경, 강상범, 김용재, 이봉수, 안병민, 박석영, 안창준, 이혜경 (Sook Kyung Lee, Sang Bum Kang, Yong Jae Kim, Bong Soo Lee, Byung Min Ahn, Suk Young Park, Chang Joon Ahn and Hye Kyung Lee)
We report a case of ileal perforation associated with Cytomegaloviral enteritis in a 62 years old man who was diagnosed as AIDS lately. The perforated lesian was located at distal ileum approximately 50 cm above ileo-cecal valve. The lesion was simply closed by surgery. There were numerous erythematous patches on the serosal surface of jejunoileum. His gastrofiberscopic examination revealed multiple shallow ulcers in distal esophagus and stomach. Mieroscopic findings of both surgical and endoscopic specimens showed characteristic cytonegalic cells with inclusion bodies. There were numerous cytomegalic endothelial cells found in the ileal specimen without direct evidence of vasculitis. The diagnosis was confirmed by colorimetric detection of cytomegalovirus DNA using in situ hybridization. (Korean J Gastrointest Endosc 18: 931- 936, 1998)
Key Words: HIV , Gastrointestinal cytomegalovirus ( CMV ) infection , Ileal perforation
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