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[A Case of Enterocutaneous Fistula Caused by Cytomegalovirus Enteritis after Gastrectomy Successfully Treated with Antiviral Therapy-A Case Report].
Gan To Kagaku Ryoho ; 47(13): 1924-1926, 2020 Dec.
Article em Ja | MEDLINE | ID: mdl-33468754
Cytomegalovirus(CMV)infection is a well-recognized complication of immunodeficiency. We present the case of a 90- year-old female admitted due to gastric cancer. Fifty-seven days after gastrectomy, intestinal juice was observed from the umbilical wound, which was suspected of anastomotic failure or gastrointestinal perforation. Abdominal computed tomography didn't reveal gastrointestinal perforation. CMV enteritis was diagnosed by transanal double-balloon endoscopy from the cecum to the oral side 15 cm of the ileum. Enterocutaneous fistula was considered to be caused by CMV enteritis. The intestinal fluid outflow from the wound disappeared treated with ganciclovir, and the ulcer in the intestinal tract disappeared, too. We report this case to reinforce the importance of considering CMV infection as a differential diagnosis in gastrointestinal perforation of compromised patients.
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Antivirais / Fístula Intestinal / Infecções por Citomegalovirus / Enterite Tipo de estudo: Etiology_studies Limite: Aged80 / Female / Humans Idioma: Ja Ano de publicação: 2020 Tipo de documento: Article
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Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Antivirais / Fístula Intestinal / Infecções por Citomegalovirus / Enterite Tipo de estudo: Etiology_studies Limite: Aged80 / Female / Humans Idioma: Ja Ano de publicação: 2020 Tipo de documento: Article