Cytomegalic Inclusion Disease of the Alimentary Tract Complicated by Ischemic Colitis -A Case Report-

Katsunari Miyamoto, Takashi Yokoyama*, Takashi Kodama, Yoshio Takesue, Mitsuaki Okita, Atsushi Makamitsu, Yoshiaki Murakami, Yuhji Imamura, Takahiro Santoh, Hiroaki Tsumura, Toshiaki Hirata, Yuhichiro Matsuura

First Department of Surgery, *Department of General Medicine, Hiroshima University School of Medicine

A 65-year-old woman was admitted with the chief complaint of bloody stool. Barium enema X-ray revealed ischemic colitis of the descending and sigmoid colon. After conservative therapy left hemicolectomy was performed, because the stenosis of the colon was not improved. Though the cytomegalic inclusion cells were found in and around the endothelium at the ischemic mucosa, the cytomegalic inclusion cells were few in comparison with the spread of the ischemic lesion. Therefore we considered that this cytomegalovirus infection was secondary to the lesion of ischemic colitis. Reports of 51 cases of cytomegalic inclusion disease of the alimentary tract in Japan revealed that most cases developed as a part of generalized cytomegalic inclusion disease and were associated with the immuno-suppressive condition. In our case the cytomegalic inclusion disease was localized, not associated with the immuno-suppressive condition. This is the first report of the disease complicated by ischemic colitis in Japan.

Key words
cytomegalic inclusion disease of alimentary tract, ischemic colitis, primary cytomegalic inclusion disease

Reprint requests
Katsunari Miyamoto The First Department of Surgery, Hiroshima University School of Medicine
1-2-3 Kasumi, Minami-ku, Hiroshima, 734 JAPAN

Accepted
December 10, 1991

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