A Case of Perforation of the Ileum due to Cytomegalovirus Enterocolitis accompanied with Immunodeficiency after Thymectomy

Shinjiro Tomiyasu¹⁾²⁾, Tetsuya Okino¹⁾, Takahito Saiki¹⁾, Yasuhisa Okumura¹⁾ and Hiroyuki Koita³⁾

Department of Surgery, National Hospital Organization Miyakonojo Hospital¹⁾
Department of Surgery, Saiseikai Kumamoto Hospital²⁾
Department of Pathology, SRL Nishinihon³⁾

We report a perforation of the ileum caused by cytomegalovirus enterocolitis accompanied with immunodeficiency after Thymectomy. A 72-year-old man was admitted to our hospital complaining of abdominal pain. An abdominal CT scan showed intraabdominal free gases. We diagnosed the patient as having peritonitis and operated. We found a perforation of the ileum and resected four centimeters of ileum, including the perforated lesion. Histological findings showed that the perforation of the ileum had been caused by a cytomegalovirus infection. This patient had been immunodeficiency after a thymectomy. We consider this case to be a rare and valuable case history.

Key words
cytomegalovirus enterocolitis, thymoma, perforation of the ileum

Reprint requests
Shinjiro Tomiyasu Department of Surgery, Saiseikai Kumamoto Hospital
5-3-1 Chikami, Kumamoto, 861-4193 JAPAN

Accepted
April 26, 2006

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