Laparoscopic Surgery for Colonic Perforation in a Patient with Cytomegalovirus Colitis—A Case Report—

Key Points

• This case aims to discuss the rare occurrence of colonic perforation associated with cytomegalovirus colitis in an immunosuppressed patient.
• Performed laparoscopic right hemicolectomy with colostomy on a 68-year-old male patient.
• Diagnosed cytomegalovirus colitis via immunostaining of resected tissue.
• Administered antiviral therapy post-surgery.
• Laparoscopic surgery effectively managed the colonic perforation with good postoperative recovery.
• Histopathological examination confirmed multiple ulcers, with one ulcer showing perforation.
• Confirmed the involvement of cytomegalovirus in the colonic perforation, underlining the importance of consideration in immunocompromised individuals.