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Case Report

Korean J Gastroenterol 2017; 69(6): 359-362

Published online June 25, 2017 https://doi.org/10.4166/kjg.2017.69.6.359

© The Korean Society of Gastroenterology.

Cytomegalovirus Gastric Ulcer Complicated with Pyloric Obstruction in a Patient with Ulcerative Colitis

궤양성 대장염에서 위 유문부 폐쇄를 일으킨 거대세포바이러스 감염 1예

Sung Hwan Kang, Kee Myung Lee1, Sung Jae Shin1, Sun Kyo Lim1, Jae Chul Hwang1, Jin Hong Kim1

강성환, 이기명1, 신성재1, 임선교1, 황재철1, 김진홍1

Division of Gastroenterology, Department of Internal Medicine, Sungae Hospital, Seoul, Division of Gastroenterology, Department of Internal Medicine, Ajou University School of Medicine1, Suwon, Korea

성애병원 소화기내과, 아주대학교 의과대학 소화기내과1

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

In patients with inflammatory bowel disease (IBD), cytomegalovirus (CMV) infections could aggravate the course of IBD but it is difficult to distinguish CMV infection from IBD exacerbation endoscopically. Usually, CMV tends to localize to the colon and other organic involvements were reported very rare in the IBD patients. Herein, we report a case that CMV gastric ulcer complicated with pyloric obstruction in a patient with ulcerative colitis during ganciclovir therapy, which was resolved by surgical gastrojejunostomy with review of literature.

KeywordsCytomegalovirus; Gastric ulcer; Gastric outlet obstruction; Ulcerative colitis