title: [First combined intestinal and abdominal wall transplantation in the Netherlands].
abstract: BACKGROUND
  When total parenteral nutrition (TPN) is not an option, intestinal transplantation is the sole treatment for patients with end-stage intestinal failure to increase the chance of long-term survival. However, in 20-33% of patients, abdominal wall-related complications occur after isolated intestinal transplantation.
  
  
  METHODS
  The patient is a 24-year-old woman with ultra-short bowel syndrome, caused by a severely complicated history of Crohn's disease. After 5 years of TPN, the patient was referred for intestinal transplantation. In addition, an abdominal wall transplant was required due to an abdominal wall defect, extensive scarring of the abdominal wall and lack of free space within the abdomen. Therefore, a combined intestinal and abdominal wall transplantation was performed. Six months after transplantation the patient has a sufficient abdominal wall, a normal body mass index and no longer requires any feeding lines.
  
  
  CONCLUSIONS
  This case report describes the first combined intestinal and abdominal wall transplantation in the Netherlands and in the Eurotransplant region in a patient with end-stage intestinal failure and loss of abdominal domain.
authors.affiliation: Universitair Medisch Centrum Groningen, Rijksuniversiteit Groningen, Groningen.
authors.forename: Jan W
authors.initials: JW
authors.lastname: Haveman
authors.forename: T M Tallechien
authors.initials: TM
authors.lastname: Tempelman
authors.forename: H S Sijbrand
authors.initials: HS
authors.lastname: Hofker
authors.forename: Patrick C
authors.initials: PC
authors.lastname: Khoe
authors.forename: Gerard
authors.initials: G
authors.lastname: Dijkstra
authors.forename: Paul M
authors.initials: PM
authors.lastname: Werker
mesh_terms: D034861:Abdominal Wall; D003424:Crohn Disease / Q000150:complications; D005260:Female; D006801:Humans; D007422:Intestines / Q000637:transplantation*; D009426:Netherlands; D010289:Parenteral Nutrition, Total; D012778:Short Bowel Syndrome / Q000209:etiology / Q000601:surgery*; D055815:Young Adult