Early posttransplant lymphoproliferative disorder presenting with ureteric obstruction in en bloc kidneys.
We describe a female patient who received double pediatric (en bloc) kidney transplants. She presented initially with fever of unknown origin 3 months after transplantation; 5 months after surgery, she presented with obstruction of one ureter followed by obstruction of the other. After 9 months she developed posttransplant lymphoproliferative disorder in both kidneys. To our knowledge, this is the first case report of this disorder occurring in en bloc kidneys and presenting with bilateral ureteric obstruction.
AlShaibani
K M
KM
Section of Transplantation Surgery, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia. shaibani@kfshrc.edu.sa
AlMeshari
K A
KA
Raza
S M
SM
AlFurayh
O
O
Mourad
W A
WA
D000328:Adult; D001706:Biopsy; D003937:Diagnosis, Differential; D005260:Female; D006084:Graft Rejection / Q000188:drug therapy; D004854:Herpesvirus 4, Human / Q000235:genetics / Q000302:isolation & purification; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D017403:In Situ Hybridization; D007680:Kidney Neoplasms / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery / Q000821:virology; D016030:Kidney Transplantation / Q000009:adverse effects* / Q000473:pathology; D016393:Lymphoma, B-Cell / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery / Q000821:virology; D009392:Nephrectomy; D012367:RNA, Viral / Q000032:analysis; D012086:Reoperation; D014057:Tomography, X-Ray Computed; D014517:Ureteral Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery
D007166:Immunosuppressive Agents; D012367:RNA, Viral