Gastroduodenal cytomegalovirus infection after renal transplantation. Fiberscopic observations.
Recently we experienced 2 adult post-renal transplantation cases with gastroduodenal cytomegalic inclusion body. In one case, it was possible to carry out close endoscopic observation from onset to resolution a - very rare opportunity. A 39-year-old man developed continuous occult blood in the stool for 1 month after renal transplantation. Multiple erosive lesions from the upper corpus of the stomach to the bulb of the duodenum were revealed by the endoscopic study. A biopsy specimen from the erosion showed the cytomegalic inclusion body. One month later, the erosive lesions had disappeared. The second case is a 40-year-old man who developed tarry stools 5 days after renal transplantation. Multiple erosions partially covered with blood coagula from the upper portion of the gastric corpus to the antrum were revealed by the endoscopic examination. A biopsy specimen from the erosion in the antrum contained the cytomegalic inclusion body.
Kodama
T
T
Fukuda
S
S
Takino
T
T
Omori
Y
Y
Oka
T
T
D000328:Adult; D003586:Cytomegalovirus Infections / Q000175:diagnosis*; D004378:Duodenal Diseases / Q000175:diagnosis*; D005336:Fiber Optic Technology; D005773:Gastroscopy; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D011183:Postoperative Complications; D013272:Stomach Diseases / Q000175:diagnosis*