Successful treatment of multiple small-bowel perforations caused by cytomegalovirus in a patient with malignant lymphoma: report of a case.

Abstract:

:We report the successful management of multiple small-bowel perforations caused by cytomegalovirus (CMV) infection in a 60-year-old man, 1 day after CHOP (cyclophosphamide/doxorubicin/vincristine/prednisone) therapy induction for malignant lymphoma. Emergency laparotomy was performed for perforative peritonitis, but we did not resect the lesions at this time. Instead, we exteriorized the small bowel and then irrigated the peritoneal cavity and intestinal tract. His white blood cell count was low, at 200 cells/microl, so this therapy was continued until it recovered. The intestine was highly edematous, but it improved after irrigation with peritoneal dialysis solution. In the second-stage procedure, we resected the small bowel with the perforations, and constructed a jejunostomy and colostomy, then closed the abdominal cavity. Although the patient needed central venous hyperalimentation, he had a favorable postoperative course and started treatment again for the malignant lymphoma.

journal_name

Surg Today

journal_title

Surgery today

authors

Nishii T,Rino Y,Ando K,Matsuzu K,Wada H,Chiba A,Arai H,Ashida A,Hasuo K,Inayama Y,Takanashi Y

doi

10.1007/s00595-006-3274-x

subject

Has Abstract

pub_date

2006-01-01 00:00:00

pages

930-3

issue

10

eissn

0941-1291

issn

1436-2813

journal_volume

36

pub_type

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