CMV-Enterokolitis bei einer erwachsenen lebertransplantierten Patientin als Ursache rezidivierender Invaginationen?

Late onset CMV disease presenting as a colonic stricture in a liver transplant recipient

Cytomegalovirus (CMV) is a common opportunistic infection in solid organ transplant (SOT) recipients in the first 6 months after transplant. Late onset CMV infection or disease outside the classical risk period is uncommon and can present with atypical signs and symptoms. Here, we report a case of late onset CMV presenting as a colonic stricture more than 10 years after liver transplantation in the absence of traditional CMV risk factors. We also briefly review CMV colitis presenting as a mass or stricture in SOT recipients.

Colocolonic intussusception in a four-yr-old with a heart transplant: a case report and review of the literature

A rare case of a colocolonic intussusception in a pediatric cardiac transplant patient is reported along with a review of colocolonic intussusception in pediatric patients after organ transplantation. A four-yr-old girl with a history of heart transplantation shortly after birth presented with a 12-hour history of abdominal pain, vomiting, and bloody stools. Initial abdominal x-ray showed rectal edema. A rectal examination revealed a palpable intussusceptum that prompted a therapeutic contrast enema, which failed to reduce the intussusception. Surgical exploration was performed with reduction of the intussusception and resection of the terminal ileum and cecum. A pathologic lead point was not identified.