Postural epigastric pain: a unique symptom of primary cytomegalovirus gastritis?

M. Giladi, A. Lembo, B. L. Johnson

Research output: Contribution to journalArticlepeer-review


Cytomegalovirus (CMV) gastritis has been reported in transplant patients. Symptoms are considered nonspecific, and gastroscopy with biopsy is usually performed to establish the diagnosis. Three patients are described here 1 to 3 months after solid organ transplantation, with primary CMV gastritis, confirmed by gastroscopy, histopathologic examination and cultures. The clinical presentation in all three cases was sharp epigastric pain that decreased in a supine position, increased while sitting and further increased when standing or walking. The epigastric pain completely resolved after treatment with ganciclovir. To the best of our knowledge, such postural epigastric pain has not been described as a specific symptom in any other clinical entity and may be a unique sign of primary CMV gastritis.

Original languageEnglish
Pages (from-to)234-235
Number of pages2
Issue number4
StatePublished - 1998
Externally publishedYes


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