Epstein-Barr virus-positive post-transplant lymphoproliferative disordepresenting as hematochezia and enterobrosis in renal transplant recipients in China: A report of two cases

Figure 1 Cervical lymph node biopsy (× 40).

Figure 2 Colonoscopy. A: Ileocecal valve; B: Transverse colon; C: Sigmoid colon; D-F: Rectum (8 cm from anus).

Figure 3 Positron emission tomography computed tomography. A-D: Prior to treatment: Lymphadenectasis and increased bone metabolism in the neck, abdominal cavity, retroperitoneum, and inguinal region. The transplanted kidney was invaded, which was accompanied by necrotic lesions; E, F: After treatment: No increased metabolism in multiple lymph nodes in the neck, abdominal cavity, retroperitoneum, and inguinal region. The number and volume of the abnormal lesions in the transplanted kidney and bone metabolism were significantly reduced.

Figure 4 Computed tomography. A: Multiple lymphadenectasis in the abdominal cavity; B: Splenomegaly.

Figure 5 X-ray. A: Subdiaphragmatic free air and intestinal expansion and gas accumulation; B: Exploratory laparotomy showed multiple intestinal perforations, 20-40 cm from the ligament of Treitz.