Download PDF
CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2017; 08(03): 137-139
DOI: 10.4103/jde.JDE_45_16
Case Report
Journal of Digestive Endoscopy

Cytomegalovirus Colitis Presenting as a Rectal Mass

Aaron Joseph Cohen
1   Department of Medicine, Harvard Medical School, Boston, MA 02115, USA
,
Navin L. Kumar
1   Department of Medicine, Harvard Medical School, Boston, MA 02115, USA
2   Department of Gastroenterology, Brigham and Women’s Hospital, Boston, MA 02115, USA
,
Julia Y. McNabb-Baltar
1   Department of Medicine, Harvard Medical School, Boston, MA 02115, USA
2   Department of Gastroenterology, Brigham and Women’s Hospital, Boston, MA 02115, USA
› Author Affiliations
Further Information

Publication History

Publication Date:
25 September 2019 (online)

Also available at
   Permissions and Reprints

ABSTRACT

Cytomegalovirus (CMV) is a common cause of colitis, particularly in immunosuppressed patients. Rarely, CMV can present as a mass lesion that endoscopically appears consistent with adenocarcinoma. There are no reported cases of a CMV mass lesion inducing rectal prolapse. We present a case of CMV colitis presenting as a rectal mass mimicking adenocarcinoma and causing rectal prolapse in an immunosuppressed female.

KEYWORDS:

Cytomegalovirus - rectal mass - rectal prolapse
 

  • REFERENCES

  • 1 Chetty R, Roskell DE. Cytomegalovirus infection in the gastrointestinal tract. J Clin Pathol 1994; 47: 968-72
    CrossrefPubMedSearch in Google Scholar
  • 2 Jacob S, Zayyani NR. Cytomegalovirus colitis masquerading as rectal malignancy in an immunocompetent patient. Indian J Pathol Microbiol 2015; 58: 80-2
    CrossrefPubMedSearch in Google Scholar
  • 3 Shah R, Vaidya G, Kalakonda A, Manocha D, Rawlins S. Cytomegalovirus colitis mimicking rectal carcinoma in a young immunocompetent patient. ACG Case Rep J 2015; 2: 165-7
    CrossrefPubMedSearch in Google Scholar
  • 4 Duarte MM, Sanctis JD. Pseudoneoplastic appearance of Cytomegalovirus infection mimicking colon carcinoma in two immunocompetent patients. Open Forum Infect Dis 2015; 2: S296-7
    CrossrefSearch in Google Scholar
  • 5 Pancharoen C, Likitnukul S, Chongsrisawat V, Vivatvekin B, Bhattarakosol P, Suwangool P. et al Rectal prolapse associated with Cytomegalovirus pseudomembranous colitis in a child infected by human immunodeficiency virus. Southeast Asian J Trop Med Public Health 2003; 34: 583-4
    PubMedSearch in Google Scholar
  • 6 Rich JD, Crawford JM, Kazanjian SN, Kazanjian PH. Discrete gastrointestinal mass lesions caused by Cytomegalovirus in patients with AIDS: Report of three cases and review. Clin Infect Dis 1992; 15: 609-14
    CrossrefPubMedSearch in Google Scholar
  • 7 Kervan U, Kucuker SA, Kocabeyoglu SS, Unal EU, Ozatik MA, Sert DE. et al Low-Dose valacyclovir for Cytomegalovirus infection prophylaxis after a heart transplant. Exp Clin Transplant 2016; 14: 551-4
    PubMedSearch in Google Scholar
  • 8 Potena L, Solidoro P, Patrucco F, Borgese L. Treatment and prevention of Cytomegalovirus infection in heart and lung transplantation: An update. Expert Opin Pharmacother 2016; 17: 1611-22
    CrossrefPubMedSearch in Google Scholar
  • 9 Snydman DR, Limaye AP, Potena L, Zamora MR. Update and review: State-of-the-art management of Cytomegalovirus infection and disease following thoracic organ transplantation. Transplant Proc 2011; 43 (03) Suppl S1-17
    CrossrefPubMedSearch in Google Scholar
  • 10 Egan JJ, Carroll KB, Yonan N, Woodcock A, Crisp A. Valacyclovir prevention of Cytomegalovirus reactivation after heart transplantation: A randomized trial. J Heart Lung Transplant 2002; 21: 460-6
    CrossrefPubMedSearch in Google Scholar
  • 11 Loewenstein MS, Zamcheck N. Carcinoembryonic antigen (CEA) levels in benign gastrointestinal disease states. Cancer 1978; 42 (03) Suppl 1412-8
    CrossrefPubMedSearch in Google Scholar