Work

A rare cause of massive gastrointestinal bleeding in a renal transplant recipient—CMV small-bowel ulcer: a case report

Year: 2026

Type: article

Abstract: A 26-year-old renal transplant recipient presented to our unit with passage of fresh and altered blood. He was on multiple immunosuppressants including mycophenolate mofetil, tacrolimus, and prednisolone. He was profoundly anaemic on admission, requiring up to 10 units of packed cell transfusion. Oesophagogastroduodenoscopy and colonoscopy showed no bleeding source. Subsequent enteroscopy showed several ulcers in the ileum, while biopsy showed cytomegalovirus viral inclusions. He was treated with a 3-week course of valganciclovir. Re-scope 1 month after the enteroscopy showed that the ulcers were largely healed.

Source: Frontiers in Medicine

DOI: 10.3389/fmed.2026.1959416

Authors: Tony Lam, Kwok Yung Yuen

Institutions: Hospital Authority, Yan Chai Hospital, University of Hong Kong

Language: English

Topic: Cytomegalovirus and herpesvirus research

Subfield: Epidemiology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,801