A Case Report on Beaded Jejunum in a Post Kidney Transplant Recipient
Shivani Desai
Department of General Surgery, Bombay Hospital, New Marine Lines, Mumbai, Maharashtra, India.
Varad Nadkarni
Department of Nephrology, Bombay Hospital, New Marine Lines, Mumbai, Maharashtra, India.
Vineet Shukla
Department of Urology, Bombay Hospital, New Marine Lines, Mumbai, Maharashtra, India.
Rajesh Yadav *
Bombay Hospital, New Marine Lines, Mumbai, Maharashtra-400020, India.
*Author to whom correspondence should be addressed.
Abstract
A 39 year old male with a history of left donor kidney transplant (donor - mother, underwent transplant in 2014) in view of Chronic Kidney Disease since 2009, presented with complaints of Malena and burning type of abdominal pain in the upper abdominal region for 10 days. He has a history of loss of appetite with weight loss of around 2 kgs over the past 2 months. Ultrasonography was suggestive of colonic wall thickening, Computer Tomography was likely suggestive of tuberculosis and no significant findings in upper OesophagoGastroDuodenoscopy (OGD Scopy) and colonoscopy. Diagnostic laparoscopy was performed to find beaded appearance of proximal jejunum.
Keywords: Malena, beaded jejunum, post kidney transplant, post transplant lymphoproliferative disorder, EBV associated non hodgkin lymphoma