Журнал клинических случаев

Perforation of Terminal Ileum as a Rare Complication of an Early Post- Transplant Course

Abstract

Ivana Dedinská, Ludovít Laca, Michal Kalman, Miroslav Pindura, Juraj Miklušica, Blažej Palkoci, Denisa Osinová, Peter Galajda and Marián Mokán

Perforations of any part of the gastrointestinal tract can occur in transplant patients, although the colon may be the most common site. We analyze the case of a 39-year-old patient after kidney transplantation who suffered perforation of terminal ileum with peritonitis on the 7th day after transplantation. We histologically confirmed presence of a foreign body in the intestinal wall – a rare cause of intestinal perforation in a patient after kidney transplantation. We have not noticed a significant worsening of graft function or development of sepsis mainly because of quick evaluation of the patient’s clinical state, prompt surgical intervention and a combined antibiotic treatment. Gastrointestinal perforations have rarely been noted in large studies involving transplant recipients.