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Posttransplant lymphoproliferative disorder presenting as a small bowel obstruction in a patient with pancreas
Cleber R Kruel1, Richard M Ruiz1, S Michelle Shiller1
1Baylor Simmons Transplant Institute, Baylor University Medical Center, Dallas, Texas (Kruel, Ruiz, Shiller, Anthony, Goldstein, Kim, McKenna, Onaca, Testa, Klintmalm) and Baylor All Saints Medical Center, Fort Worth, Texas (Levy).
Abstract:
Posttransplant lymphoproliferative disorder (PTLD) is a well-known complication associated with the transplant recipient. We chronicle a case of PTLD in a failed graft presenting as a small bowel obstruction in a pancreas-only transplant patient. While typical symptoms may be elusive in the complex immunosuppressed patient, graft pain along with persistent graft pancreatitis and a positive Epstein-Barr viremia should raise suspicion for an underlying PTLD.
