Chronic rejection with sclerosing peritonitis following pediatric intestinal transplantation

:  Intestinal transplantation is considered the usual treatment for patients with permanent intestinal failure when parenteral nutrition has failed. Chronic rejection is a complication difficult to diagnose because of the scarcity and lack of specificity in the symptoms and the characteristics of ty...

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Bibliographic Details
Published in:Pediatric transplantation 2007-12, Vol.11 (8), p.937-941
Main Authors: Ramos, Esther, Molina, Manuel, Sarría, Jesús, Pérez‐Moneo, Begoña, Burgos, Emilio, López‐Santamaría, Manuel, Prieto, Gerardo
Format: Article
Language:English
Subjects:
Abdomen
Biological and medical sciences
Child, Preschool
Chronic Disease
chronic rejection
Diagnosis, Differential
Follow-Up Studies
Gastroenterology. Liver. Pancreas. Abdomen
General aspects
Graft Rejection - complications
Graft Rejection - diagnosis
Humans
Ileum - pathology
intestinal transplantation
Intestine, Small - transplantation
Jejunum - pathology
Male
Medical sciences
Necrosis - surgery
Organ Transplantation - adverse effects
Other diseases. Semiology
Peritonitis - diagnosis
Peritonitis - etiology
sclerosing peritonitis
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Tomography, X-Ray Computed
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Summary::  Intestinal transplantation is considered the usual treatment for patients with permanent intestinal failure when parenteral nutrition has failed. Chronic rejection is a complication difficult to diagnose because of the scarcity and lack of specificity in the symptoms and the characteristics of typical histological findings. We report the case of a four‐yr‐old patient who received an isolated intestinal transplant. After developing a chronic rejection he presented an intestinal obstruction secondary to a sclerosing peritonitis that required the surgical removal of the graft.
ISSN:1397-3142
1399-3046
DOI:10.1111/j.1399-3046.2007.00798.x