Abstract
We report here a case of transverse colonic perforation due to acute diverticulitis 9 years after kidney transplantation. A 55-year-old man who had undergone cadaveric kidney transplant and received immunosuppressive treatment with tacrolimus, prednisolone, and mycophenolate mofetil came to our hospital with acute abdomen. Imaging examinations revealed feculent peritonitis due to acute diverticulitis of the transverse colon. In emergent surgery, the affected colon was removed and double-barrel colostomy was constructed. Intensive care was provided without interrupting administration of immunosuppressive drugs. The patient was discharged on postoperative day 19 without complications. The remaining ends were anastomosed 4 months after the emergent operation. Similar cases will inevitably increase even in community hospitals with the rising development of transplantation medicine. Immediate consultation with transplantation specialists is warranted in emergent situations involving transplant recipients.
