Cytomegalovirus ileitis in an immunocompetent elderly adult

Figure 1 Abdominal computed tomography on admission revealed layering appearance of bowel wall and luminal dilatation from the distal jejunum to the pelvic ileal loop.

Figure 2 Colonoscopy, performed on admission, revealed scattered regions of geographic ulcers and hyperemic edematous mucosa on the terminal ileum.

Figure 3 Follow up colonoscopy was performed. The previously noted ulcers and hyperemic edematous lesion were improved.

Figure 4 Pathologic findings. A: Enlargement of infected cells and intranuclear inclusions were noted (HE stain, × 100); B: Immunohistochemical stain for CMV showed scattered positive cells.