2018 Volume 60 Issue 6 Pages 1219-1224
A 79-year-old female was undergoing medical treatment for hypertension and hyperlipidemia at a doctor’s office. Because of deterioration of her general condition, she was brought to our hospital by ambulance. After careful examination, she was diagnosed with diabetic ketoacidosis and was immediately hospitalized. During the course of her treatment, she began to suffer from abdominal bloating. Abdominal computed tomography (CT) revealed colon dilation. Lower digestive tract endoscopy revealed various ulcerative lesions throughout the patient’s colon. Mucosal biopsy was subsequently performed, and the patient was diagnosed with intestinal cytomegalovirus infection. She was treated with ganciclovir, and her symptoms promptly improved. Following ganciclovir treatment, symptoms of constipation began to appear. Endoscopic examination of the lower gastrointestinal tract revealed colonic stenosis and it was impossible to pass the endoscope through the sigmoid colon. Endoscopic balloon dilatation was performed to treat the stenosis. Postprocedure recovery was good, and no signs of recurrence of colonic stenosis have been noted to date. As a result, surgery was not necessary in this case.
