Cytomegaloviral enteritis: a rare cause of small gut perforation

Maqbool Ahmed1, Sohail Saqib, Mannan Masud

  • 1Department of Surgery, Military Hospital, Rawalpindi, Pakistan. maqbool957@hotmail.com

Insights

A patient with inflammatory bowel disease and autoimmune hepatitis developed a perforated ileum due to cytomegaloviral enteritis. Despite treatment, the patient experienced complications including acute respiratory distress syndrome and ultimately died.

Area of Science:

  • Gastroenterology
  • Infectious Diseases
  • Hepatology

Background:

  • A 47-year-old male presented with a four-month history of abdominal pain and loose stools.
  • Initial investigations revealed anemia, deranged liver and renal function tests, an antral ulcer, and a cecal ulcer.
  • Histopathology suggested inflammatory colitis and autoimmune hepatitis.

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