{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,23]],"date-time":"2025-09-23T12:39:56Z","timestamp":1758631196451},"reference-count":19,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2012,8,30]],"date-time":"2012-08-30T00:00:00Z","timestamp":1346284800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Transplant Infectious Dis"],"published-print":{"date-parts":[[2012,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Cytomegalovirus (<jats:styled-content style=\"fixed-case\">CMV<\/jats:styled-content>) infection in renal transplant recipients can present as asymptomatic viremia or <jats:styled-content style=\"fixed-case\">CMV<\/jats:styled-content> syndrome or, in more severe cases, as tissue\u2010invasive disease. <jats:styled-content style=\"fixed-case\">CMV<\/jats:styled-content> enteritis, a common manifestation of <jats:styled-content style=\"fixed-case\">CMV<\/jats:styled-content> invasive disease, usually presents with fever, abdominal pain, anorexia, nausea, and diarrhea, and can be rarely complicated by colon perforation, hemorrhage, or megacolon. <jats:styled-content style=\"fixed-case\">CMV<\/jats:styled-content> infection occurs primarily in the first 6\u00a0months post transplantation, when immunosuppression is more intense.<\/jats:p><jats:p>We describe the case of a female renal transplant recipient with small bowel obstruction caused by <jats:styled-content style=\"fixed-case\">CMV<\/jats:styled-content> disease 7\u00a0years post renal transplantation. The patient presented with diarrhea and abdominal pain. Because of elevated <jats:styled-content style=\"fixed-case\">CMV<\/jats:styled-content> viral load, she was initially treated with antiviral therapy with transient response. Endoscopy and imaging tests showed obstruction of the terminal ileum and, subsequently, the patient underwent exploratory laparotomy when a right hemicolectomy was performed. Biopsy results confirmed the diagnosis of <jats:styled-content style=\"fixed-case\">CMV<\/jats:styled-content> enteritis. Epidemiologic characteristics, clinical presentation, diagnostic workup, therapeutic options, and morbidity\u2013mortality rates of <jats:styled-content style=\"fixed-case\">CMV<\/jats:styled-content> infection\/disease, in renal transplant recipients, are reviewed.<\/jats:p>","DOI":"10.1111\/j.1399-3062.2012.00784.x","type":"journal-article","created":{"date-parts":[[2012,8,30]],"date-time":"2012-08-30T09:25:09Z","timestamp":1346318709000},"source":"Crossref","is-referenced-by-count":9,"title":["Small bowel obstruction caused by inflammatory cytomegalovirus tumor in a renal transplant recipient: report of a rare case and review of the literature"],"prefix":"10.1111","volume":"14","author":[{"given":"G.","family":"Papadimitriou","sequence":"first","affiliation":[{"name":"First Department of Surgery and Transplant Unit Evangelismos General Hospital Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Koukoulaki","sequence":"additional","affiliation":[{"name":"First Department of Surgery and Transplant Unit Evangelismos General Hospital Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Vardas","sequence":"additional","affiliation":[{"name":"First Department of Surgery and Transplant Unit Evangelismos General Hospital Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E.","family":"Florou","sequence":"additional","affiliation":[{"name":"First Department of Surgery and Transplant Unit Evangelismos General Hospital Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Argyrakos","sequence":"additional","affiliation":[{"name":"Department of Pathological Anatomy Evangelismos General Hospital Athens 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