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Case Reports in Medicine
Volume 2017 (2017), Article ID 9732967, 4 pages
https://doi.org/10.1155/2017/9732967
Case Report

Overt Lower Gastrointestinal Bleeding and Pseudotumor: A Rare Presentation of Cytomegalovirus Infection

1Department of Internal Medicine, Albert Einstein Medical Center, Philadelphia, PA, USA
2Department of Digestive Diseases and Transplantation, Albert Einstein Medical Center, Philadelphia, PA, USA

Correspondence should be addressed to Akanksha Agrawal; moc.liamg@rga12ahsknaka

Received 18 August 2017; Accepted 25 September 2017; Published 18 October 2017

Academic Editor: Bruno Megarbane

Copyright © 2017 Akanksha Agrawal et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Cytomegalovirus (CMV) is a ubiquitous organism which can infect multiple organs of the body. In an immunocompromised patient, it can have a myriad of gastrointestinal manifestations. We report a case of recurrent hematochezia and concomitant pseudotumor in an AIDS (acquired immunodeficiency syndrome) patient attributable to CMV infection. A 62-year-old man with a history of AIDS, noncompliant with highly active antiretroviral therapy (HAART), presented with bright red blood per rectum. Index colonoscopy showed presence of multiple ulcers, colonic stenosis, and mass-like appearing lesion. Biopsy confirmed CMV infection and ruled out malignancy. Cessation of dual antiplatelet therapy and compliance with HAART lead to clinical cessation of bleeding and endoscopic healing of ulcers with complete resolution of colon mass on follow-up colonoscopy.