Dinesh B V, Selvaraju Karthikeyan, Kumar Sampath, Thota Sumath
Department of General Surgery, Kasturba Medical College, Manipal, Karnataka, India.
BMJ Case Rep. 2013 Sep 10;2013:bcr-2013-200944. doi: 10.1136/bcr-2013-200944.
Cytomegalovirus (CMV) infection causes significant morbidty and mortality in immunopromised patients. Though it is usually silent in immunocompetent adults, rarely it can cause serious life-threatening complications. Gastrointestinal tract is one of the commonly involved organs, where it produces a spectrum of clinical manifestation ranging from mild non-specific abdominal pain and diarrhoea to severe infection with toxic megacolon and death. We present a 65-year-old immunocompetent male patient admitted with acute colonic obstruction secondary to CMV-induced colonic stricture, highlighting the importance of considering it as a differential diagnosis for colonic obstruction and reviewing its management.
巨细胞病毒（CMV）感染在免疫功能低下的患者中会导致严重的发病和死亡。虽然它在免疫功能正常的成年人中通常无症状，但极少数情况下会引发严重的危及生命的并发症。胃肠道是常见受累器官之一，其临床表现多样，从轻微的非特异性腹痛和腹泻到严重感染导致中毒性巨结肠甚至死亡。我们报告了一名65岁免疫功能正常的男性患者，因CMV诱导的结肠狭窄继发急性结肠梗阻入院，强调了将其作为结肠梗阻鉴别诊断及回顾其治疗方法的重要性。
