CYTOMEGALOVIRUS GASTRITIS ASSOCIATED WITH PSEUDOLYMPHOMA

A man who previously had several episodes of upper gastrointestinal he morrhage from erosive gastritis developed recurrent hemorrhage. Endosc opy showed punctate hemorrhages in the fundus and body of the stomach, plus a discrete area of thickened folds in the anterior wall. Biopsie s revealed a dense mucosal infiltrate that included cytomegaloviral in clusions. Bleeding continued despite treatment with blood transfusions and ranitidine. Because of continued hemorrhage, and to distinguish t he cause of the thickened folds, surgical biopsy was performed that sh owed lymphoid germinal formations, characteristic of pseudolymphoma. H e responded to i.v. ganciclovir and has had no further bleeding during 2 years of follow-up.