title: Gastric ulcer perforation in heart-lung transplant patient: a successful case of early surgical intervention and management.
abstract: Gastrointestinal complications may follow organ transplantation. A patient who underwent heart lung transplantation due to patent ductus arteriosus and Eisenmenger's syndrome had an episode of acute cardiac rejection and was treated with a bolus injection of methylprednisolone followed by a high oral dose of prednisone. On the 22nd postoperative day, the patient complained of acute abdominal pain with muscular rigidity and a plain chest x-ray showed free air in the right subdiaphragmatic area. Under the suspicion of bowel perforation, an emergency laparotomy was performed and the perforated stomach had a wedge-shaped resection that included the perforation. Following the laparotomy, the postoperative course was uneventful and the patient was discharged on post-laparotomy day 10.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine, Seoul 135-720, Korea. hcpaik@yumc.yonsei.ac.kr
authors.forename: Hyo Chae
authors.initials: HC
authors.lastname: Paik
authors.forename: Do Hyung
authors.initials: DH
authors.lastname: Kim
authors.forename: Doo Yun
authors.initials: DY
authors.lastname: Lee
authors.forename: Dong Sup
authors.initials: DS
authors.lastname: Yoon
authors.forename: Jae Hoon
authors.initials: JH
authors.lastname: Lee
mesh_terms: D000328:Adult; D016041:Heart-Lung Transplantation / Q000009:adverse effects*; D006801:Humans; D008297:Male; D010439:Peptic Ulcer Perforation / Q000209:etiology* / Q000601:surgery*; D013276:Stomach Ulcer / Q000601:surgery*