Cytomegalovirus Duodenitis Causing Persistent Hypoalbuminemia and Ascites After Liver Transplantation

Lipika Lipi; Narendra S Choudhary; Swapnil Dhampalwar; Abhishek Kathuria; Neeraj Saraf; Arvinder S Soin

doi:10.1016/j.jceh.2024.101387

Cytomegalovirus Duodenitis Causing Persistent Hypoalbuminemia and Ascites After Liver Transplantation

J Clin Exp Hepatol. 2024 Jul-Aug;14(4):101387. doi: 10.1016/j.jceh.2024.101387. Epub 2024 Feb 24.

Authors

Lipika Lipi¹, Narendra S Choudhary², Swapnil Dhampalwar², Abhishek Kathuria³, Neeraj Saraf², Arvinder S Soin²

Affiliations

¹ Department of Pathology, Institute of Liver Transplantation and Regenerative Medicine, India.
² Department of Pathology, Institute of Digestive and Hepatobiliary Sciences, India.
³ Department of Pathology, Medanta The Medicity, Gurugram, Haryana, India.

PMID: 38495464
PMCID: PMC10943483 (available on 2025-07-01)
DOI: 10.1016/j.jceh.2024.101387

Abstract

A 44-year-old male had persistent hypoalbuminemia and ascites after liver transplantation. Imaging of the liver and gastrointestinal system was normal. Urine examination was negative for proteinuria. A diagnosis of protein-losing enteropathy was suspected, and a duodenal biopsy was done. Duodenal biopsy was positive for cytomegalovirus (CMV). The patient improved with CMV treatment.

Keywords: ascites; cytomegalovirus; liver transplantation; protein-losing enteropathy.

Publication types

Case Reports