Cytomegalovirus-induced colonic stricture presenting as acute intestinal obstruction in an immunocompetent adult

BMJ Case Rep. 2013 Sep 10:2013:bcr2013200944. doi: 10.1136/bcr-2013-200944.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Colonic Diseases / diagnostic imaging*
  • Colonic Diseases / etiology
  • Colonic Diseases / pathology
  • Constriction, Pathologic / diagnostic imaging
  • Constriction, Pathologic / etiology
  • Constriction, Pathologic / pathology
  • Cytomegalovirus Infections / complications
  • Cytomegalovirus Infections / pathology*
  • Humans
  • Immunocompetence
  • Intestinal Obstruction / diagnostic imaging*
  • Intestinal Obstruction / etiology
  • Intestinal Obstruction / pathology
  • Male
  • Radiography