Muldoon J, O'Riordan K, Rao S, Abecassis M
Department of Surgery, Northwestern University Medical School, Chicago, Illinois 60611, USA.
Transplantation. 1996 Jun 15;61(11):1651-3. doi: 10.1097/00007890-199606150-00018.
Gastrointestinal complications occur after renal transplantation in up to 16% of patients. Cytomegalovirus (CMV) vasculitis can affect the gastrointestinal tract with significant manifestations, including colonic ulceration, bleeding, and perforation. We present a case of CMV vasculitis in a renal transplant patient that caused middle and left colic vein thrombosis and resultant ischemic colitis. There was no evidence of arterial involvement. To our knowledge, this is the first reported case of ischemic colitis secondary to large vein thrombosis associated with CMV infection.
肾移植后，高达16%的患者会出现胃肠道并发症。巨细胞病毒（CMV）血管炎可累及胃肠道，出现包括结肠溃疡、出血和穿孔等显著表现。我们报告一例肾移植患者发生CMV血管炎，导致中结肠静脉和左结肠静脉血栓形成及由此引发的缺血性结肠炎。未发现动脉受累的证据。据我们所知，这是首例报告的与CMV感染相关的大静脉血栓形成继发缺血性结肠炎病例。
