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Multiple jejunal perforations secondary to cytomegalovirus in a patient with acquired immune deficiency syndrome

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Abstract

Disseminated cytomegalovirus infection in patients with AIDS usually involves the lungs, retina, esophagus, or colon. Gastrointestinal involvement may present clinically with fever, intractable diarrhea, and crampy abdominal pain. Ulcerations have been seen throughout the gastrointestinal tract, but perforations have been confined to the terminal ileum and colon. We report a case of a patient who presented with peritonitis with no prodromal symptoms and who, on exploration, had multiple large jejunal perforations secondary to cytomegalovirus enteropathy.

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Authors and Affiliations

  1. Departments of Surgery, Surgical Oncology, Community Medicine, and Pathology, St. Vincent's Hospital and Medical Center, New York

    Anthony J. DeRiso Jr MD, M. Margaret Kemeny MD, Ramon A. Torres MD & Jorge M. Oliver MD

  2. New York Medical College, New York, New York

    Anthony J. DeRiso Jr MD, M. Margaret Kemeny MD, Ramon A. Torres MD & Jorge M. Oliver MD

Authors
  1. Anthony J. DeRiso Jr MD
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  2. M. Margaret Kemeny MD
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  3. Ramon A. Torres MD
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  4. Jorge M. Oliver MD
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DeRiso, A.J., Kemeny, M.M., Torres, R.A. et al. Multiple jejunal perforations secondary to cytomegalovirus in a patient with acquired immune deficiency syndrome. Digest Dis Sci 34, 623–629 (1989). https://doi.org/10.1007/BF01536342

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  • DOI: https://doi.org/10.1007/BF01536342

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