Post-transplant lymphoproliferative disorder (small bowel)

Case contributed by Associate Professor Natalie Yang

Presentation

Abdominal pain.

Patient Data

Age: Adult
Gender: Male
CT

CT abdomen and pelvis

CT of the abdomen obtained without intravenous contrast demonstrates marked thickening of the terminal ileum, with dilatation of the lumen (despite how thick the wall has become). There is surrounding stranding and numerous enlarged regional lymph nodes. 

A right iliac fossa transplant kidney is also noted. 

Annotated image

Annotated images

Markedly thickened bowel (green dotted line) with dilated lumen (blue dotted line) and enlarged nodes (orange arrow). Transplant kidney (yellow dotted line) is present in the right iliac fossa. 

Case Discussion

This patient went on to have a biopsy which confirmed post-transplant lymphoproliferative disorder (PTLD).

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Case information

rID: 6956
Published: 30th Aug 2009
Last edited: 2nd Jan 2021
Inclusion in quiz mode: Included