Hani Mohamed Aziz, Ben Achour Jamel, Zoghlami Ayoub, Najah Nabil
Service de Chirurgie Beau Séjour, Hôpital Charles Nicolle, Tunis, Tunisie.
Tunis Med. 2003 Feb;81(2):145-8.
Cytomegalovirus infection of the digestive tract is rare and particularly severe after transplantation. Colon is the most often affected part of the digestive tube. We present the case of acute cytomegalovirus colitis that occurred five months after a bone marrow transplantation. An emergency subtotal colectomy with sigmoidostomy and ileostomy was performed followed six weeks later by an ileorectal anastomosis. The pathologic specimen showed cytomegalovirus inclusion bodies proving the diagnosis.
消化道巨细胞病毒感染较为罕见,在移植后尤为严重。结肠是消化道最常受累的部位。我们报告一例骨髓移植五个月后发生的急性巨细胞病毒结肠炎病例。进行了急诊次全结肠切除术并做了乙状结肠造口术和回肠造口术,六周后进行了回肠直肠吻合术。病理标本显示有巨细胞病毒包涵体,确诊为此病。