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Ileocolic and Jejunal Intussusceptions Requiring Surgical Intervention in a Pediatric Patient with Posttransplant

Ilan Maizlin1, David A Klima, Elizabeth A Beierle

  • 1Department of Surgery, University of Alabama, Birmingham, Alabama, USA.

The American Surgeon
|September 28, 2016
PubMed

Insights

Posttransplant lymphoproliferative disorder (PTLD) can cause intestinal intussusception in children. This case highlights PTLD as a cause of intussusception in pediatric transplant recipients with abdominal symptoms.

Area of Science:

  • Pediatric Gastroenterology
  • Transplant Surgery
  • Pediatric Oncology

Background:

  • Posttransplant lymphoproliferative disorder (PTLD) is a significant complication following pediatric transplantation.
  • Intestinal intussusception is a surgical emergency in children, typically with different underlying causes.

Observation:

  • A pediatric patient who underwent cardiac transplant presented with multiple episodes of intestinal intussusception.
  • The intussusception was found to be secondary to extensive lymphoid hyperplasia, a manifestation of PTLD.
  • This case required surgical intervention due to the severity and multiplicity of the intussusception.

Findings:

  • PTLD can present as a lead point for intestinal intussusception in pediatric transplant recipients.
  • Lymphoid hyperplasia associated with PTLD can lead to complex intussusception requiring surgical management.
  • This presentation is unusual, with multiple areas of intussusception observed.

Implications:

  • Clinicians should consider PTLD in the differential diagnosis of intussusception in pediatric transplant patients with abdominal complaints.
  • Early recognition and management of PTLD-associated intussusception are crucial for improved outcomes.
  • This case underscores the importance of vigilant monitoring for PTLD complications in pediatric transplant populations.

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