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Although renal transplantation has said to have transformed the quality of lives of most of the end stage renal disease patients, it is attended by its own set of complications including allograft rejection, drug-related side effects, small to potentially lethal infections, and various malignancies in the long run. Esophageal ulcers are known to occur after renal transplantation due to various infections including cytomegalovirus (CMV)/Herpes and the drugs Mycophenolate mofetil (MMF) and steroids. We hereby report a rare gastrointestinal complication of esophageal-mediastinal fistula in a renal transplant patient that presented as severe mediastinitis and had a rapidly downhill course in our patient.

international journal of case reports and images

An esophageal-mediastinal fistula in a renal transplant patient—a late complication that shall both dither the clinician and be rapidly fatal: A case report