Late-Onset Posttransplant Lymphoproliferative Disorder Results in Jejunal Stricture Managed with Endoscopic Dilation
Author(s) -
Steven Park,
John W. Miller,
Janice Cheong,
Asad Ullah,
Lawrence J. Saubermann,
Arthur J. DeCross
Publication year - 2021
Publication title -
case reports in gastrointestinal medicine
Language(s) - English
Resource type - Journals
eISSN - 2090-6528
pISSN - 2090-6536
DOI - 10.1155/2021/5583665
Subject(s) - medicine , balloon dilation , surgery , heart transplantation , transplantation , presentation (obstetrics) , balloon
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.
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