Abstract:
:Radiographic findings in 11 proved cases of cytomegalovirus (CMV) colitis were reviewed and correlated with colonoscopic and pathologic findings. Patients were chronically ill homosexual men with multiple systemic opportunistic infections. Endoscopies showed focal or diffuse inflammation, hemorrhagic plaques, and superficial colonic ulcers. Biopsies revealed inflammatory cells associated with cytoplasmic and intranuclear inclusion bodies. Barium enema examinations showed mucosal granularity, superficial erosions, thickened folds, and spasticity. Disease was either diffuse (four patients) or segmental (two patients), or it involved the cecum exclusively (three patients). Two patients had normal barium enema studies. Computed tomography scans in two patients demonstrated marked colonic wall thickening and mucosal ulcerations. In the homosexual population with acquired immunodeficiency syndrome, CMV colitis should be part of the differential diagnosis of diffuse colitis, segmental colitis, or typhlitis.
journal_name
Radiologyjournal_title
Radiologyauthors
Balthazar EJ,Megibow AJ,Fazzini E,Opulencia JF,Engel Idoi
10.1148/radiology.155.3.2988010subject
Has Abstractpub_date
1985-06-01 00:00:00pages
585-9issue
3eissn
0033-8419issn
1527-1315journal_volume
155pub_type
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