Severe aspirin-induced enteritis in a patient with post-renal transplantation

We present the case of a 42-year-old woman with a history of renal transplantation who developed severe enteritis while taking enteric-coated low-dose aspirin. Despite signs of localized peritonitis, conservative management-including aspirin discontinuation, fasting, and antibiotics-was effective, and surgical intervention was avoided. Endoscopic and histologic findings were consistent with drug-induced enteritis, and no infectious etiology was identified. This case highlights the potential for serious gastrointestinal injury from low-dose aspirin in immunocompromised patients and underscores the importance of early recognition and intervention.