Korean J Med > Volume 77(5); 2009 > Article
The Korean Journal of Medicine 2009;77(5):1115-1118.
A case of cytomegalovirus gastritis characterized by polypoid lesions
Kyong Won Park, Moon Young Kim, Hye Jeong Kim, Hearn Kook Kim, Ki Tae Suk, Yosep Chong, Mee-Yon Cho
용종 모양을 보인 거대세포바이러스 위장관 감염 1예
박경원ㆍ김문영ㆍ김혜정ㆍ김헌국ㆍ석기태ㆍ정요셉ㆍ조미연, Moon Young Kim, Hye Jeong Kim, Hearn Kook Kim, Ki Tae Suk, Yosep Chong, Mee-Yon Cho
Abstract
A 55-year-old immunocompetent man presented with worsening epigastric pain that developed after he had been drinking alcohol heavily for a few days. He was admitted to our hospital with the diagnosis of alcoholic ketoacidosis based on his laboratory profile. About 34 years earlier, he had undergone a subtotal gastrectomy to treat obstruction of the pyloric channel. Endoscopic examination of the gastrointestinal tract showed yellowish elevated polypoid lesions on the gastric side of the anastomosis site and biopsy specimens revealed cytomegalovirus (CMV) infection with severe chronic inflammation histopathologically. The main reported endoscopic feature of alimentary tract cytomegalovirus disease is ulceration. We report a case of CMV-associated polypoid lesions, which is a rare endoscopic finding, along with a brief review of the literature. (Korean J Med 77:S1115-S1118, 2009)
Key Words: Cytomegalovirus infection; Endoscopic examination; Polypoid lesion


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