TY - JOUR
T1 - Hemobilia caused by cytomegalovirus cholangiopathy
AU - Prasad, Ganapathy A.
AU - Abraham, Susan C.
AU - Baron, Todd H.
AU - Topazian, Mark D.
PY - 2005/11/1
Y1 - 2005/11/1
N2 - A 57-yr-old male on long-term steroid therapy presented with hematemesis, fever, and a retroperitoneal fluid collection. Hemobilia was diagnosed, but the cause was not identified by ERCP, computed tomography, or angiography. Peroral cholangioscopy revealed multiple biliary ulcers. Cholangioscopic biopsies diagnosed cytomegalovirus (CMV) infection. Intravenous ganciclovir therapy was initiated, and was associated with cessation of bleeding. Biliary CMV disease is rare in HIV-negative persons, but should be considered in a patient with unexplained hemobilia. Cholangioscopy may be useful for diagnosis.
AB - A 57-yr-old male on long-term steroid therapy presented with hematemesis, fever, and a retroperitoneal fluid collection. Hemobilia was diagnosed, but the cause was not identified by ERCP, computed tomography, or angiography. Peroral cholangioscopy revealed multiple biliary ulcers. Cholangioscopic biopsies diagnosed cytomegalovirus (CMV) infection. Intravenous ganciclovir therapy was initiated, and was associated with cessation of bleeding. Biliary CMV disease is rare in HIV-negative persons, but should be considered in a patient with unexplained hemobilia. Cholangioscopy may be useful for diagnosis.
UR - http://www.scopus.com/inward/record.url?scp=33644661398&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33644661398&partnerID=8YFLogxK
U2 - 10.1111/j.1572-0241.2005.00275.x
DO - 10.1111/j.1572-0241.2005.00275.x
M3 - Article
C2 - 16279917
AN - SCOPUS:33644661398
SN - 0002-9270
VL - 100
SP - 2592
EP - 2595
JO - American Journal of Gastroenterology
JF - American Journal of Gastroenterology
IS - 11
ER -