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Endoscopy 1985; 17(4): 157-158
DOI: 10.1055/s-2007-1013001
CASE REPORTS

© Georg Thieme Verlag KG Stuttgart · New York

Gastroduodenal Cytomegalovirus Infection after Renal Transplantation Fiberscopic Observations

T. Kodama1 , S. Fukuda1 , T. Takino1 , Y. Omori2 , T. Oka2
  • 1Third Department of Internal Medicine, Kyoto Prefectural University of Medicine
  • 2Second Department of Surgery, Kyoto Prefectural University of Medicine
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Publication History

Publication Date:
17 March 2008 (online)

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LETTER TO THE EDITOREndoscopy 1985; 17(06): 233-233
DOI: 10.1055/s-2007-1018513

Summary

Recently we experienced 2 adult post-renal transplantation cases with gastroduodenal cytomegalic inclusion body.

In one case, it was possible to carry out close endoscopic observation from onset to resolution - a very rare opportunity. A 39-year-old man developed continuous occult blood in the stool for 1 month after renal transplantation. Multiple erosive lesions from the upper corpus of the stomach to the bulb of the duodenum were revealed by the endoscopic study. A biopsy specimen from the erosion showed the cytomegalic inclusion body. One month later, the erosive lesions had disappeared.

The second case is a 40-year-old man who developed tarry stools 5 days after renal transplantation. Multiple erosions partially covered with blood coagula from the upper portion of the gastric corpus to the antrum were revealed by the endoscopic examination. A biopsy specimen from the erosion in the antrum contained the cytomegalic inclusion body.

Key words:

Cytomegalic inclusion body - Renal transplantation - Endoscopy