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FIGURE 112-104

On occasions, recipients may develop clinical findings in the early or relatively early post-transplant period that may not be necessarily related to the transplant itself. In this instance, a recipient of a 5th kidney transplant presented within weeks after discharge with clinical findings suggestive of a small bowel obstruction. An exploratory laparotomy showed distended and collapsed small bowel.

FIGURE 112-105

At the transition point, a single adhesion (arrow), as in most cases of small bowel obstruction in the general population, was found to be responsible for the obstruction.

FIGURE 112-106

Once the adhesion was lysed, the obstruction resolved. The post-operative course was uneventful from both the transplant and GI standpoints.

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