naa a22 4500 510814352 CHVBK 20180411083458.0 cr unu---uuuuu 180411e20130401xx s 000 0 eng 10.1007/s12328-013-0360-7 doi (NATIONALLICENCE)springer-10.1007/s12328-013-0360-7 Small intestinal perforation caused by cytomegalovirus reactivation after subtotal colectomy for ulcerative colitis: report of a case [Elektronische Daten] [Hiroyuki Fujikawa, Toshimitsu Araki, Tadanobu Shimura, Yoshiki Okita, Koji Tanaka, Mikihiro Inoue, Mikio Kawamura, Yasuhiro Inoue, Yasuhiko Mohri, Keiichi Uchida, Masato Kusunoki] A 79-year-old woman with bloody diarrhea was diagnosed with ulcerative colitis. She developed intestinal perforation after high-dose steroid therapy. An emergency laparotomy revealed a perforation in the ascending colon, and a subtotal colectomy was performed with an ileostomy and a mucous fistula in the sigmoid colon. Histological findings of the resected colon showed the presence of cytomegalovirus in the endothelial cells of vessels around the ulcer floor. Twelve days after the laparotomy, she developed an ileal perforation with a bloody discharge from the ileostomy and underwent an emergency laparotomy. Multiple intestinal perforations were found in the ileum, and the perforated ileum was resected. Cytomegalovirus infection was controlled with ganciclovir postoperatively. Histological findings of the resected ileum showed the presence of cytomegalovirus in the endothelial cells of vessels around the ulcer floor. This is the first report of ileal perforation due to cytomegalovirus infection confirmed pathologically in a patient with ulcerative colitis. Springer Japan, 2013 Cytomegalovirus nationallicence Perforation nationallicence Ileum nationallicence Ulcerative colitis nationallicence Fujikawa Hiroyuki Division of Reparative Medicine, Department of Gastrointestinal and Pediatric Surgery, Institute of Life Sciences, Mie University Graduate School of Medicine, 2-174, Edobashi, 514-8507, Tsu, Mie, Japan aut Araki Toshimitsu Division of Reparative Medicine, Department of Gastrointestinal and Pediatric Surgery, Institute of Life Sciences, Mie University Graduate School of Medicine, 2-174, Edobashi, 514-8507, Tsu, Mie, Japan aut Shimura Tadanobu Division of Reparative Medicine, Department of Gastrointestinal and Pediatric Surgery, Institute of Life Sciences, Mie University Graduate School of Medicine, 2-174, Edobashi, 514-8507, Tsu, Mie, Japan aut Okita Yoshiki Division of Reparative Medicine, Department of Gastrointestinal and Pediatric Surgery, Institute of Life Sciences, Mie University Graduate School of Medicine, 2-174, Edobashi, 514-8507, Tsu, Mie, Japan aut Tanaka Koji Division of Reparative Medicine, Department of Gastrointestinal and Pediatric Surgery, Institute of Life Sciences, Mie University Graduate School of Medicine, 2-174, Edobashi, 514-8507, Tsu, Mie, Japan aut Inoue Mikihiro Division of Reparative Medicine, Department of Gastrointestinal and Pediatric Surgery, Institute of Life Sciences, Mie University Graduate School of Medicine, 2-174, Edobashi, 514-8507, Tsu, Mie, Japan aut Kawamura Mikio Division of Reparative Medicine, Department of Gastrointestinal and Pediatric Surgery, Institute of Life Sciences, Mie University Graduate School of Medicine, 2-174, Edobashi, 514-8507, Tsu, Mie, Japan aut Inoue Yasuhiro Division of Reparative Medicine, Department of Gastrointestinal and Pediatric Surgery, Institute of Life Sciences, Mie University Graduate School of Medicine, 2-174, Edobashi, 514-8507, Tsu, Mie, Japan aut Mohri Yasuhiko Division of Reparative Medicine, Department of Gastrointestinal and Pediatric Surgery, Institute of Life Sciences, Mie University Graduate School of Medicine, 2-174, Edobashi, 514-8507, Tsu, Mie, Japan aut Uchida Keiichi Division of Reparative Medicine, Department of Gastrointestinal and Pediatric Surgery, Institute of Life Sciences, Mie University Graduate School of Medicine, 2-174, Edobashi, 514-8507, Tsu, Mie, Japan aut Kusunoki Masato Division of Reparative Medicine, Department of Gastrointestinal and Pediatric Surgery, Institute of Life Sciences, Mie University Graduate School of Medicine, 2-174, Edobashi, 514-8507, Tsu, Mie, Japan aut Clinical Journal of Gastroenterology Springer Japan 6/2(2013-04-01), 111-115 1865-7257 6:2<111 2013 6 12328 https://doi.org/10.1007/s12328-013-0360-7 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s12328-013-0360-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Fujikawa Hiroyuki Division of Reparative Medicine, Department of Gastrointestinal and Pediatric Surgery, Institute of Life Sciences, Mie University Graduate School of Medicine, 2-174, Edobashi, 514-8507, Tsu, Mie, Japan aut NATIONALLICENCE 700 1- Araki Toshimitsu Division of Reparative Medicine, Department of Gastrointestinal and Pediatric Surgery, Institute of Life Sciences, Mie University Graduate School of Medicine, 2-174, Edobashi, 514-8507, Tsu, Mie, Japan aut NATIONALLICENCE 700 1- Shimura Tadanobu Division of Reparative Medicine, Department of Gastrointestinal and Pediatric Surgery, Institute of Life Sciences, Mie University Graduate School of Medicine, 2-174, Edobashi, 514-8507, Tsu, Mie, Japan aut NATIONALLICENCE 700 1- Okita Yoshiki Division of Reparative Medicine, Department of Gastrointestinal and Pediatric Surgery, Institute of Life Sciences, Mie University Graduate School of Medicine, 2-174, Edobashi, 514-8507, Tsu, Mie, Japan aut NATIONALLICENCE 700 1- Tanaka Koji Division of Reparative Medicine, Department of Gastrointestinal and Pediatric Surgery, Institute of Life Sciences, Mie University Graduate School of Medicine, 2-174, Edobashi, 514-8507, Tsu, Mie, Japan aut NATIONALLICENCE 700 1- Inoue Mikihiro Division of Reparative Medicine, Department of Gastrointestinal and Pediatric Surgery, Institute of Life Sciences, Mie University Graduate School of Medicine, 2-174, Edobashi, 514-8507, Tsu, Mie, Japan aut NATIONALLICENCE 700 1- Kawamura Mikio Division of Reparative Medicine, Department of Gastrointestinal and Pediatric Surgery, Institute of Life Sciences, Mie University Graduate School of Medicine, 2-174, Edobashi, 514-8507, Tsu, Mie, Japan aut NATIONALLICENCE 700 1- Inoue Yasuhiro Division of Reparative Medicine, Department of Gastrointestinal and Pediatric Surgery, Institute of Life Sciences, Mie University Graduate School of Medicine, 2-174, Edobashi, 514-8507, Tsu, Mie, Japan aut NATIONALLICENCE 700 1- Mohri Yasuhiko Division of Reparative Medicine, Department of Gastrointestinal and Pediatric Surgery, Institute of Life Sciences, Mie University Graduate School of Medicine, 2-174, Edobashi, 514-8507, Tsu, Mie, Japan aut NATIONALLICENCE 700 1- Uchida Keiichi Division of Reparative Medicine, Department of Gastrointestinal and Pediatric Surgery, Institute of Life Sciences, Mie University Graduate School of Medicine, 2-174, Edobashi, 514-8507, Tsu, Mie, Japan aut NATIONALLICENCE 700 1- Kusunoki Masato Division of Reparative Medicine, Department of Gastrointestinal and Pediatric Surgery, Institute of Life Sciences, Mie University Graduate School of Medicine, 2-174, Edobashi, 514-8507, Tsu, Mie, Japan aut NATIONALLICENCE 773 0- Clinical Journal of Gastroenterology Springer Japan 6/2(2013-04-01), 111-115 1865-7257 6:2<111 2013 6 12328 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer