Abstract
PURPOSE: We report the case of a renal transplant recipient with rectal lymphoma manifested by sudden onset of abdominal pain from a perforated rectum who was treated successfully with prompt surgical resection and reduction of immunosuppressants. METHODS: An emergent anterior resection with Hartmann's procedure was done. Immunosuppressants were drastically reduced by discontinuation of cyclosporine. RESULTS: Pathologic examination showed diffusely infiltrated large-cell malignant lymphoma with an immunoblastic feature. The patient has been followed-up for four years, with no tumor recurrence or graft rejection. CONCLUSION: Rectal lymphoma, although rare, should be kept in the list of differential diagnoses for transplant recipients who exhibit lower gastrointestinal bleeding, intestinal obstruction, or abdominal pain.
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Read at the meeting of the Journal of Colon and Rectal Surgeons, Kaohsing, Taiwan, Republic of China, August 4, 1996.
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Fan, CW., Chen, JS., Wang, J.Y. et al. Perforated rectal lymphoma in a renal transplant recipient. Dis Colon Rectum 40, 1258–1260 (1997). https://doi.org/10.1007/BF02055175
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DOI: https://doi.org/10.1007/BF02055175