A case of multiple ulcers in the transplanted free jejunum of a patient operated for hypopharyngeal cancer

Abstract

Most adults have subclinical cytomegalovirus (CMV) infection, and CMV infection in the adult usually develops in an immuno-compromised host. We experienced a case of intractable multiple ulcers in the transplanted free jejunum caused by CMV in a patient operated for hypopharyngeal cancer. The case was a 68-year-old man who had undergone a total laryngectomy due to laryngeal cancer in 1994 and had undergone a pharyngoesophagectomy because of hypopharyngeal cancer in 2001. Post-operative radiation therapy was applied in a dose of 61Gy by Lineac. In December of 2001 he suddenly developed hematemesis and an endoscopic examination with esophagogastrof iberscopy was done. Multiple ulcers in the transplanted jejunum were found and pathological examination of the biopsied specimen revealed CMV infection with CMV enclosure body.