Chronic rejection with sclerosing peritonitis following pediatric intestinal transplantation.
Intestinal transplantation is considered the usual treatment for patients with permanent intestinal failure when parenteral nutrition has failed. Chronic rejection is a complication difficult to diagnose because of the scarcity and lack of specificity in the symptoms and the characteristics of typical histological findings. We report the case of a four-yr-old patient who received an isolated intestinal transplant. After developing a chronic rejection he presented an intestinal obstruction secondary to a sclerosing peritonitis that required the surgical removal of the graft.
Ramos
Esther
E
Service of Paediatric Gastroenterology and Nutrition, Hospital Infantil Universitario La Paz, Madrid, Spain.
Molina
Manuel
M
Sarría
Jesús
J
Pérez-Moneo
Begoña
B
Burgos
Emilio
E
López-Santamaría
Manuel
M
Prieto
Gerardo
G
D002675:Child, Preschool; D002908:Chronic Disease; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006084:Graft Rejection / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D007082:Ileum / Q000473:pathology; D007421:Intestine, Small / Q000637:transplantation*; D007583:Jejunum / Q000473:pathology; D008297:Male; D009336:Necrosis / Q000601:surgery; D016377:Organ Transplantation / Q000009:adverse effects*; D010538:Peritonitis / Q000175:diagnosis / Q000209:etiology*; D014057:Tomography, X-Ray Computed