Acute appendicitis in a patient after a uterus transplant: A case report.
Acute abdomen
Case report
Colitis
Differential diagnosis
Noncompliance
Organ transplantation
Uterus
Journal
World journal of clinical cases
ISSN: 2307-8960
Titre abrégé: World J Clin Cases
Pays: United States
ID NLM: 101618806
Informations de publication
Date de publication:
26 12 2019
26 12 2019
Historique:
received:
20
09
2019
revised:
07
11
2019
accepted:
15
11
2019
entrez:
9
1
2020
pubmed:
9
1
2020
medline:
9
1
2020
Statut:
ppublish
Résumé
Acute appendicitis in a solid organ transplant recipient is a rare occurrence, and experience remains limited. Appendicitis in uterine transplant recipients has never been reported. Immunocompromised patients with acute abdomen often present late and with attenuated symptoms. The differential diagnosis in a transplanted patient is broad and challenging due to possible existing complications associated with the graft, effects of immunosuppression, and altered anatomical relations. A 26-year-old woman suffering from absolute uterine factor infertility received a uterus transplant. In the post-transplant period, she suffered from leukopenia and recurrent acute cellular rejection. Her compliance was suboptimal. She travelled to an exotic destination despite the physician's recommendation not to do so. Following her vacation, she presented with abdominal discomfort, nausea and diarrhoea. There was no sign of acute abdomen; the abdominal ultrasound was negative on day 0. A high index of suspicion of an atypical course and symptomatology of acute abdomen should be maintained in immunosuppressed patients.
Sections du résumé
BACKGROUND
Acute appendicitis in a solid organ transplant recipient is a rare occurrence, and experience remains limited. Appendicitis in uterine transplant recipients has never been reported. Immunocompromised patients with acute abdomen often present late and with attenuated symptoms. The differential diagnosis in a transplanted patient is broad and challenging due to possible existing complications associated with the graft, effects of immunosuppression, and altered anatomical relations.
CASE SUMMARY
A 26-year-old woman suffering from absolute uterine factor infertility received a uterus transplant. In the post-transplant period, she suffered from leukopenia and recurrent acute cellular rejection. Her compliance was suboptimal. She travelled to an exotic destination despite the physician's recommendation not to do so. Following her vacation, she presented with abdominal discomfort, nausea and diarrhoea. There was no sign of acute abdomen; the abdominal ultrasound was negative on day 0.
CONCLUSION
A high index of suspicion of an atypical course and symptomatology of acute abdomen should be maintained in immunosuppressed patients.
Identifiants
pubmed: 31911907
doi: 10.12998/wjcc.v7.i24.4270
pmc: PMC6940341
doi:
Types de publication
Case Reports
Langues
eng
Pagination
4270-4276Informations de copyright
©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
Déclaration de conflit d'intérêts
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
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