title: A case of cytomegalovirus enterocolitis diagnosed by the double-balloon enteroscopy.
abstract: A 73-year-old woman presented with massive bloody stools while undergoing hospitalization for multiple myeloma. Colonoscopy and transrectal double-balloon enteroscopy revealed multiple punched-out ulcers throughout the entire colon and in the distal ileum. Cytomegalovirus was detected in the biopsy specimens of both the colonic and ileal mucosa and in the peripheral blood, which lead the diagnosis of CMV enterocolitis. The patient's gastrointestinal bleeding was temporarily improved by the administration of ganciclovir, though she died thereafter due to progression of the primary disease. We herein report the effectiveness of transrectal double-balloon enteroscopy for the diagnosis of cytomegalo-virus enterocolitis.
authors.affiliation: Department of Gastroenterology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
authors.forename: Takayoshi
authors.initials: T
authors.lastname: Fujita
authors.forename: Takafumi
authors.initials: T
authors.lastname: Ando
authors.forename: Osamu
authors.initials: O
authors.lastname: Watanabe
authors.forename: Osamu
authors.initials: O
authors.lastname: Maeda
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Ishiguro
authors.forename: Hironao
authors.initials: H
authors.lastname: Takahashi
authors.forename: Masaaki
authors.initials: M
authors.lastname: Minami
authors.forename: Motofusa
authors.initials: M
authors.lastname: Hasegawa
authors.forename: Daisuke
authors.initials: D
authors.lastname: Ishikawa
authors.forename: Naoki
authors.initials: N
authors.lastname: Ohmiya
authors.forename: Yasumasa
authors.initials: Y
authors.lastname: Niwa
authors.forename: Hidemi
authors.initials: H
authors.lastname: Goto
mesh_terms: D000368:Aged; D003113:Colonoscopy; D015897:Comorbidity; D003586:Cytomegalovirus Infections / Q000175:diagnosis* / Q000453:epidemiology; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D004760:Enterocolitis / Q000175:diagnosis* / Q000453:epidemiology / Q000821:virology*; D017809:Fatal Outcome; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000453:epidemiology / Q000821:virology; D006801:Humans; D007150:Immunohistochemistry; D009101:Multiple Myeloma / Q000453:epidemiology