A case of small intestinal cast causing SBO in complicated intestinal graft-versus-host disease

Christa N Grant1, Eric D Nellis, A Alfred Chahine

  • 1Department of Surgery, MedStar Georgetown University Hospital, 3800 Reservoir Road NW, 4PHC, Washington, DC, 20007, USA.

We report an unusual case of small bowel obstruction caused by an intestinal cast in an 8-year-old female who developed intestinal graft-versus-host disease (GVHD) following two unrelated bone marrow transplants for aplastic anemia, and highlight the pathophysiology, common presentations, and surgical complications of intestinal GVHD from the surgeons' perspective.

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