J Korean Soc Radiol.  2014 Jul;71(1):26-29. 10.3348/jksr.2014.71.1.26.

Cytomegalovirus Enteritis in an Immunocompetent Patient Causing Small Bowel Obstruction and Superior Mesenteric Artery Thrombosis: A Case Report

Affiliations
  • 1Department of Diagnostic Radiology, CHA Bundang Medical Center, CHA University, Seongnam, Korea. kkaung@cha.ac.kr

Abstract

Cytomegalovirus (CMV) infection is usually associated with immunocompromised patients. The gastrointestinal (GI) tract may be affected by the CMV anywhere from the esophagus to the colon and cause GI bleeding, peritonitis or perforation. We encountered an immunocompetent patient with CMV enteritis presenting with small bowel obstruction and showing focal concentric small bowel narrowing and superior mesenteric artery (SMA) thrombosis on a post contrast enhanced CT scan. We surgically proved focal CMV enteritis. To the best of our knowledge, this is the first report on a case of CMV enteritis presenting with small bowel obstruction and SMA thrombosis complication in an immunocompetent host.

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