Small bowel (small intestine)
Infectious disorders

Topic Completed: 1 August 2012

Revised: 12 March 2019

Copyright: 2003-2019,, Inc.

PubMed Search: CMV small bowel[TIAB]

Hanni Gulwani, M.B.B.S.
Page views in 2019: 444
Page views in 2020 to date: 30
Cite this page: Gulwani H. CMV. website. Accessed January 26th, 2020.
Definition / general
  • CMV infections associated with immunosuppression, HIV; usually reflects disseminated infection if present in gut
  • May cause necrotizing injury and perforation
  • CMV duodenitis may present with bleeding or ulceration
Microscopic (histologic) description
  • Inclusions in endothelial cells, fibroblasts, smooth muscle cells
  • Necrosis and granulation tissue associated with moderate / marked lymphoplasmacytic infiltrate (Scand J Gastroenterol 2011;46:1228)
  • Small bowel allografts: circumscribed area of mucosal injury with few eosinophils (Transplant Proc 2010;42:2671)
Microscopic (histologic) images

Images hosted on other servers:

Various images

Contributed by Hanni Gulwani, M.D.

38 year old man with CMV pouchitis, postsurgery for ulcerative colitis; note nucleomegaly with intranuclear inclusions

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