A Case of Colon Perforation that Occurred 24 years After Renal Transplantation

Abstract

We report a case of transverse colon perforation occurring 24 years after kidney transplantation. A 62-year-old man was transported to our hospital complaining of acute abdominal pain. He had undergone cadaveric kidney transplantation 24 years earlier and was receiving immunosuppressive treatment with prednisolone and cyclosporine. Colonic perforation was suspected by the findings of abdominal computed tomography. Emergent surgery was performed, with surgical drainage and construction of a double-barrel colostomy. Postoperatively, antibiotic therapy and blood purification therapy were initiated for septic shock with acute kidney injury. The patient was discharged from the intensive care unit on the 18th postoperative day without complications.