巨細胞病毒感染併發大腸破裂

Colon Perforation as Late Complication of Cytomegaly Virus Infection

馬永基(Weng-Kei Ma) ； 廖漢文(Hon-Man Liu) ； 曾旭明(Yuk-Ming Tsang) ； 張世龍(Shih-Long Chang) ； 詹國俊(Kuo-Chun Chan)

《中華放射線醫學雜誌》 21卷3期 (1996/06) Pp. 159-161

摘要

巨細胞病毒感染腸胃道常見於免疫不全的病人，由於臨床症狀及放射線影像，不具特異性，因此手術前診斷十分困難。本報告之病例為一名以餐後嘔吐、下腹痛、及上腹部腫塊為臨床表徵的高齡婦人，住院接受大腸鋇劑攝影檢查發現橫結腸及小腸間形成瘻管。經手術後病理證實為巨細胞病毒感染，併發大腸破裂。對於免疫不全的病人，若出現腸胃道不適，大腸鋇劑攝影發現腸道瘻管，則巨細胞病毒感染，需列入鑑別診斷之一。

關鍵字

結腸炎 ； 大腸，破裂 ； 巨細胞病毒

並列摘要

Cytomegaly virus infection (CMV) is commonly found in immunocompromised patients. It is difficult to reach a correct diagnosis preoperatively using only clinical data and conventional images, because they are non-specific. We report a case of an elderly woman who presented with post-prandial vomiting, lower abdominal pain and an epigastric mass. After admission, colon barium study showed a fistula between the transverse colon and small bowel. Pathology found CMV infection in the transverse colon with peritonitis. It is suggested that, in case of immunocompromised patients with gastrointestinal complaint, in whom barium enema shows an intestinal fistula, CMV infection should be included as one of the differential diagnoses.

並列關鍵字

Cytomegaly virus ； Colon perforation ； Barium enema