Esophageal Perforation in a Patient With Kidney Transplantation

Authors

  • Manouchehr Amini Department of Nephrology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran Author
  • Ali Ghorbani Abdehgah Department of Surgery, Research Center for Improvement of Surgical Outcomes and Procedures, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran Author
  • Behnam Molavi Department of Surgery, Research Center for Improvement of Surgical Outcomes and Procedures, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran Author
  • Amir Reza Radmard Department of Radiology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran Author
  • Ali Ali Askari Department of Internal Medicine, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran Author

Abstract

Esophageal perforation is a rupture of the esophageal wall, caused by iatrogenesis in 56% of cases. Perforation of the esophagus remains a challenge, and its incidence has increased as the use of endoscopic procedures has become more frequent. We report a 54-year-old woman with esophageal perforation 8 days after kidney transplantation. She had received a gastrointestinal consultation prior to her transplantation. This report highlights the fact that perforation may occur after any organ transplantation, especially during the initial 2 weeks after transplantation, when mycophenolate mofetil and cyclosporine as well as and high doses of corticosteroid are administered. If there is a delay in passage and a swallowing difficulty, high doses of immunosuppressive drugs are likely to cause ulceration and perforation. Preventive strategies including intravenous steroids for the first 2 to 3 weeks and divided doses of pills should be considered for such patients.

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Author Biographies

  • Manouchehr Amini, Department of Nephrology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran

    Associate proffesor, Department of Nephrology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran

  • Ali Ghorbani Abdehgah, Department of Surgery, Research Center for Improvement of Surgical Outcomes and Procedures, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
    Assistant proffesor, Department of Surgery, Research Center for Improvement of Surgical Outcomes and Procedures, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
  • Behnam Molavi, Department of Surgery, Research Center for Improvement of Surgical Outcomes and Procedures, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran

    Assistant proffesor, Department of Surgery, Research Center for Improvement of Surgical Outcomes and Procedures, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran

  • Amir Reza Radmard, Department of Radiology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
    Assistant proffesor,Department of Radiology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
  • Ali Ali Askari, Department of Internal Medicine, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
    Assistant,Department of Internal Medicine, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran

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Published

2016-08-11

Issue

Section

CASE REPORT | Transplantation

How to Cite

Esophageal Perforation in a Patient With Kidney Transplantation. (2016). Iranian Journal of Kidney Diseases, 10(4), 233-236. https://www.ijkd.org/index.php/ijkd/article/view/2644

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