Isolated intestinal Kaposi’s sarcoma in a kidney transplant patient: Diagnostic difficulty

AUTHORS

Alina Betkowska Prokop 1 , Ewa Ignacak 1 , Marek Kuzniewski 1 , Tomasz Kruszyna 2 , Krzysztof Okon 3 , Władysław Sułowicz 1 , *

1 Department of Nephrology, Jagiellonian University, College of Medicine, Cracow, Poland

2 Department of Gastrenterosurgery, Jagiellonian University, College of Medicine, Cracow, Poland

3 Department of Pathology, Jagiellonian University, College of Medicine, Cracow, Poland

How to Cite: Betkowska Prokop A, Ignacak E, Kuzniewski M, Kruszyna T, Okon K, et al. Isolated intestinal Kaposi’s sarcoma in a kidney transplant patient: Diagnostic difficulty, Nephro-Urol Mon. 2011 ; 3(3):e93972.

ARTICLE INFORMATION

Nephro-Urology Monthly: 3 (3); e93972
Published Online: June 30, 2011
Article Type: Case Report
Received: May 18, 2019
Accepted: June 30, 2011

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Abstract

A 33 year old man with unknown cause of end stage renal disease received a renal graft from a deceased donor. Triple immunosuppression with cyclosporine A (CyA), mycophenolate mofetil and prednisone was prescribed. Four months after transplantation the patient developed general weakness, fever, diarrhea and bleeding to the intestinal tract leading to severe anemia. Due to the fact that no bleeding site was found during gastroduodenoscopy and colonoscopy, open surgery was performed and revealed bleeding ulcerations in small intestine. Partial resection of small intestine and hemicolectomy was performed and histopathological examination revealed Kaposi’s sarcoma (KS) infiltration in the ulceration. CyA was withdrawn and rapamycine started. After 4 years post surgery the patient has been doing well, without symptoms of KS.

Keywords

Kidney transplantation Immunosuppression Kaposi’s sarcoma Gastrointestinal hemorrhage

© 2011, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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