CASE 09: Duodenal Perforation 10 Years After Kidney Transplantation

Duodenal perforation in the early postoperative period after repair of an incisional hernia in a kidney transplant recipient. The perforation was diagnosed when bilious contents were observed in the drain (arrow) placed at the mesh closure. Although transplant recipients present with findings encountered in the general population (such as incisional hernias for unrelated procedures), their clinical course has the likely potential to be more complex and unpredictable.

Duodenal perforation in the early postoperative period after repair of an incisional hernia in a kidney transplant recipient. The perforation was diagnosed when bilious contents were observed in the drain (arrow) placed at the mesh closure. Although transplant recipients present with findings encountered in the general population (such as incisional hernias for unrelated procedures), their clinical course has the likely potential to be more complex and unpredictable.