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BMJ Case Reports 2012; doi:10.1136/bcr.01.2012.5651
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Enterocolitis with multiple ulcers of ileum and right colon in a patient with leukaemia attributed to cytomegalovirus

  1. Evaggelia Papantoni
  1. Fourth Surgery Department, National & Kapodistrian University of Athens, Attikon University General Hospital, Athens, Greece
  1. Correspondence to Professor Iordanis N Papadopoulos, ipapado{at}med.uoa.gr

Description

A 76-year-old woman with a history of myelogenous leukaemia was admitted with haematochesia fever (38.3°C) and slight abdominal pain. Haemoglobin was 8 g/l, WBC 8.2×109/l, platelets were 55×109/l and partial thromboplastin time was 23 s. Gastroscopy was normal, colonoscopy did not reveal the source of haemorrhage, but a CT-angiography indicated the source at the ileo-caecal region.

Non-surgical therapy including 8 units of blood and 8 units of fresh frozen plasma was performed in 3 days, but haemorrhage continued, …

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