Acute Abdominal Pain in a Lung Transplant Recipient

• Published in: Respiration Vol. 66; no. 2; pp. 179 - 181
• Main Authors: van den Berg, J.W.K., Verschuuren, E.A.M., Ouwens, J.P., Rottier, C., Koëter, G.H., de Boer, W.J., van der Bij, W.
• Format: Journal Article
• Language: English
• Published: Basel, Switzerland Karger 01.03.1999; S. Karger AG
• Subjects: Abdomen; Biological and medical sciences; Gastroenterology. Liver. Pancreas. Abdomen; Medical sciences; Other diseases. Semiology; What Is Your Diagnosis?; Side effects; Abdominal complications; Transplantation; Immunosuppressive medication; Lung transplantation; Human; Appendicitis; Acute; Lung; Clinical form; Homotransplantation; Abdomen; Case study; Pain; Abdominal disease; Surgery; Digestive diseases; Intestinal disease
• ISSN: 0025-7931; 1423-0356
• DOI: 10.1159/000029365

Sorry, there is no abstract. Read the first few lines of the text instead! A 49-year-old man was admitted to the hospital for analysis of an abdominal mass in the right upper quadrant. This patient had received a double-lung transplant for end-stage emphysema 5 years ago. The follow-up since had been unremarkable, although he developed progressive renal failure thought to be related to cyclosporin use. The immunosuppressive regimen also consisted of azathioprine and prednisone. His lung function was excellent. Six months prior to admittance he started to complain of fatigue and later of a dull pain in the right upper abdomen. Ultrasound examination revealed an enlarged liver with several noduli. A biopsy showed a monoclonal proliferation of EBV-positive lymphocytes, consistent with a diagnosis of posttransplantation lymphoproliferative disease (PTLD).