초록
결론적으로 거대세포바이러스 대장염은 면역기능이 유지된 사람에게서는 드문 질환으로 알려져 있으며 그에 따른 합병증으로 대장협착이 발생한 경우는 더욱 흔하지 않다. 연자들은 정상면역을 가진 성인에서 폐렴에 의한 급성 호흡곤란 증후군과 패혈증으로 중환자실 치료 중 지속적인 복부통증, 고열, 혈변으로 대장내시경을 시행하여 거대세포 바이러스 대장염을 진단하였고 이로 인한 장협착이 발생하여 장절 제술까지 시행한 1예를 경험하여서 보고하였다.
Cytomegalovirus (CMV) infection has been described in immunosuppressed individuals such as patients with AIDS, those receiving chemotherapy, and post-transplantation. CMV can cause severe disease either via reactivation of latent virus or via primary infection. In immunocompetent patients, CMV infection is usually transient and does not exhibit many symptoms. The colon is the site most frequently affected by severe CMV disease in immunocompetent patients. Clinically, CMV colitis commonly presents with diarrhea, fever, and abdominal pain. Although some patients recover spontaneously, others suffer from severe complications, such as bowel perforation, severe gastrointestinal bleeding and, rarely, stricture, and surgery is the choice of treatment in these patients. We report a case of stricture of the proximal transverse colon, presenting as a complication of CMV colitis, in an immunocompetent man with acute respiratory distress syndrome. We performed laparoscopic segmental resection of the proximal transverse colon.
