Intussusception Can Be the First Sign of Post-transplant Lymphoproliferative Disease

• Published in: Transplantation proceedings 2019-05, Vol.51 (4), p.1184-1186
• Main Authors: Atici, Semra Demirli, Arican, Can, Avci, Emran Kuzey, Akalin, Murat, Kayapinar, Ali Kemal, Calik, Bulent, Gul, Gulen, Akbulut, Gokhan
• Format: Article
• Language: English
• Subjects: Humans; Intussusception - etiology; Kidney Transplantation - adverse effects; Lymphoma, Large B-Cell, Diffuse - complications; Male; Middle Aged; Postoperative Complications - diagnosis
• ISSN: 0041-1345; 1873-2623
• DOI: 10.1016/j.transproceed.2019.01.085

Intussusception is usually seen in the pediatric age group and rarely seen in adults. It results in the progression of the proximal segment of the intestine into the distal intestine. A 50-year-old immunosuppressive male patient presented with the complaints of abdominal pain, nausea, vomiting, and no gas or stool discharge for 2 days. He was hospitalized with the presumptive diagnosis of acute abdomen. He has a history of renal transplantation due to chronic renal insufficiency. An explorative laparotomy was performed. The operative findings were compatible with jejunojejunal intussusception, and a segmental small bowel resection and end-to-end anastomosis were performed. The patient was uncomplicated postoperatively and discharged on the fifth postoperative day. The pathology was reported as Epstein-Barr virus negative with diffuse large-cell B lymphoma. In this case report, we aim to report on a jejunojejunal intussusception that was presented as the first sign of post-transplant lymphoproliferative disease.