Abstract
We report the case of a 70-year-old man with internal hemorrhoid. After hemorrhoidectomy, the patient presented with anal infection, diarrhea, fever and leucocytosis. CT showed intraperitoneal free air, therefore, emergent laparotomy was performed. Multiple ileal perforation was detected, necessitating ileocecal resection of an intestinal segment about 110 cm long. At that time, we suspected intestinal Behcet's disease, because the patient also had oral and genital ulcers. Histopathological examination of the resected ileum revealed only non-specific inflammation. The serum cytomegalovirus antibody titers increased rapidly and declined after the operation, therefore, we made the diagnosis of cytomegalovirus enteritis. Until now, about 4 years since, the patient has had no recurrence of the abdominal symptoms.
