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Background   Late-onset posttransplant lymphoproliferative disorder (PTLD) after orthotopic heart transplantation is rare.  Case Presentation . We present a rare diagnosis of small bowel stricture caused by healed lymphomatous ulcers in a patient with orthotopic heart transplantation and PTLD diagnosed 25 years after initial transplantation. We also demonstrate successful endoscopic balloon dilations that improved the patient's obstructive symptoms.Conclusion   It is important to consider stricture from healed lymphomatous ulcers in posttransplant patients presenting with obstructive symptoms.

Late-Onset Posttransplant Lymphoproliferative Disorder Results in Jejunal Stricture Managed with Endoscopic Dilation