Werner症候群女性に発症したcytomegalovirus腸炎による横行結腸穿孔の1例

• 正木 裕児

  岡村一心堂病院外科

• 岡田 敏正

  岡村一心堂病院外科

• 三上 芳喜

  川崎医科大学病理

書誌事項

タイトル別名

• PERFORATION OF THE TRANSVERSE COLON DUE TO CYTOMEGALOVIRUS ENTERITIS IN A PATIENT WITH WERNER'S SYNDROME

抄録

A 49-year-old woman with Werner's syndrome was admitted to the hospital because of epigastralgia. Her abdomen was distended with muscular defence. Abdominal CT scan demonstrated the presence of free air. She was diagnosed as having panperitonitis due to perforation of the gastrointestinal (GI) tract, and an emergency operation was performed. At surgery, amounts of stool in the abdominal cavity was found and a perforated region of the transverse colon was recognized. A partial resection of the transverse colon with a colostomy was performed. Microscopic examination showed ulcer formation with infiltration of lots of lymphocytes with acidophilic intranuclear inclusion bodies. On immunohistochemical staining, these inclusion bodies were positive to anti-CMV antibody. There have been no reports of the case with Werner's syndrome and idiopathic colonic perforation due to CMV infection. Opportunitic CMV infection should be included in the defferential diagnosis of perforation of the GI tract of unknown cause in an immuno-compromised host.

収録刊行物

• 日本臨床外科学会雑誌

  日本臨床外科学会雑誌 61 (9), 2405-2407, 2000

  日本臨床外科学会

キーワード

• Cytomegalovirus enteritis
• opportunistic infection
• Werner's syndrome

詳細情報

• CRID: 1390001204848792704
• NII論文ID: 130003602109
• NII論文ID: 10009381330
• NII書誌ID: AA11189709
• DOI: 10.3919/jjsa.61.2405
• ISSN: 18825133
• ISSN: 13452843
• Web Site: http://www.jstage.jst.go.jp/article/ringe1998/61/9/61_9_2405/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2001040700
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