Two episodes of cytomegalovirus-associated colon perforation after heart transplantation with successful result.
A patient with end-stage heart disease was discharged from the hospital on postoperative day 7 after orthotopic heart transplantation. Three weeks from the day of operation, he developed sigmoid colon perforation, which required Hartmann's procedure, and 2 weeks later he had cecal disruption. A pathologic specimen showed underlying diverticular disease with associated cytomegalovirus colitis. Subsequently, the patient had multiple complications. Three months after colon perforation, the patient left the hospital, and now 1 year after transplantation he continues to do well. To the best of our knowledge, this is the first reported case of a patient who survived multiple colon perforations soon after heart transplantation.
Gangahar
D M
DM
Bryan Memorial Hospital, Lincoln, Nebraska.
Liggett
S P
SP
Casey
J
J
Carveth
S W
SW
Reese
H E
HE
Buchman
R J
RJ
Breiner
M A
MA
D002429:Cecal Diseases / Q000209:etiology*; D003586:Cytomegalovirus Infections / Q000150:complications*; D004239:Diverticulitis, Colonic / Q000150:complications; D016027:Heart Transplantation; D006801:Humans; D007165:Immunosuppression Therapy / Q000009:adverse effects; D007416:Intestinal Perforation / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012810:Sigmoid Diseases / Q000209:etiology*