| A case of CMV-induced gastric ulcer |
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Mi-Jeong Lee, Jae Myung Park, Yoo Kyung Cho, In Seok Lee, Sang Woo Kim, Myung-Gyu Choi, In-Sik Chung |
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| 거대세포바이러스에 의해 유발된 위궤양 |
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이미정 &#; 박재명 &#; 조유경 &#; 이인석 &#; 김상우 &#; 최명규 &#; 정인, Jae Myung Park, Yoo Kyung Cho, In Seok Lee, Sang Woo Kim, Myung-Gyu Choi, In-Sik Chung |
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| Abstract |
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A 59-year-old female with breast cancer, who had been treated with cancer chemotherapy and radiotherapy, visited the
hospital with a 2-week history of epigastric pain. Upper gastrointestinal endoscopy showed multiple ulcers with gastric
hypertrophy. In the biopsy specimen, no malignant cells were observed, but some cells were positive on immunochemistry
examination for cytomegalovirus (CMV). Ganciclovir was administered for 2 weeks. Her symptoms improved and the
immunochemistry finding of a subsequent gastric mucosal specimen was negative. However, the lumen of the gastric
antrum was too narrow for the endoscope to pass the pylorus easily. A gastric perforation resulted and was treated with
total gastrectomy and esophagojejunostomy, while an endoscopic stent was inserted to allow oral intake. Here, we report
a case of gastric ulcer resulting from CMV infection and stenosis as a complication in an immunosuppressant patient.
(Korean J Med 76:209-214, 2009) |
| Key Words:
Cytomegalovirus; Gastric ulcer; Immunosuppression; Stricture |
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