Nonspecific and Multiple Ulcer of the Colon In a Chronic Hemodialysis Patient, Report of a Case Kazuo Inui 1 1The Second Department of Internal Medicine, Nagoya Univercity, School of Medicine pp.1249-1255
Published Date 1986/11/25
DOI https://doi.org/10.11477/mf.1403110146
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 A 41 year-old man was admitted complaining of pain in the lower abdomen. He had been on chronic maintenance hemodialysis three times every week for ten years because of chronic glomerulo-nephritis. Barium enema study and colonofiberscopy showed two ulcers at the ascending colon and a small ulcer at the transverse colon. Histological examination of the biopsy and resected specimens revealed nonspecific ulcer of the colon and cytomegalovirus inclusion could be seen at the bottom of the ulcers.

 Gastrointestinal bleeding in renal failure or renal transplant patients is observed occasionally but nonspecific ulcer of the colon is very rare and only fifteen cases including this case have been reported in the world medical literature. In this report, the clinical features of the fifteen cases and the relationship between cytomegalovirus infection and colonic ulcer were discussed.

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