Primary posttransplant lymphoproliferative disorder of the gallbladder in a lung transplant patient presenting with acute cholecystitis.
BACKGROUND
Acute cholecystitis in an immunocompromised host is potentially devastating. Posttransplant lymphoproliferative disorder (PTLD) is a well described complication of immunosuppressive therapy used after solid organ transplantation; however, isolated involvement of the gallbladder has not been described.


METHODS
Case report format is used.


RESULTS
We report a case of PTLD isolated to the gallbladder, as well as histological evidence of acute cholecystitis, in a patient who presented with signs and symptoms of acute cholecystitis 1 year after single lung transplant.


CONCLUSIONS
PTLD can occur in the setting of acute cholecystitis and may be missed if careful pathological examination is not undertaken.
Heller
T
T
Department of Medicine, University of Maryland School of Medicine, Baltimore 21201, USA.
Drachenberg
C B
CB
Orens
J B
JB
Fantry
G T
GT
D000208:Acute Disease; D000368:Aged; D002764:Cholecystitis / Q000175:diagnosis / Q000209:etiology*; D003937:Diagnosis, Differential; D006801:Humans; D016867:Immunocompromised Host; D016040:Lung Transplantation / Q000009:adverse effects* / Q000276:immunology; D008232:Lymphoproliferative Disorders / Q000175:diagnosis / Q000209:etiology*; D008297:Male