Presentation
Abdominal pain.
Patient Data
Age: Adult
Gender: Male
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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 images
From the case:
Post-transplant lymphoproliferative disorder (small bowel)
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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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