Small bowel lymphoma after renal transplant

Abstract

A 24-year-old woman presented with a 2- to 3-week history of central and right iliac fossa abdominal pain associated with intermittent fevers and night sweats. Her medical history was significant for renal transplant 3 years earlier for end-stage renal failure due to reflux nephropathy. She had been immunosuppressed on tacrolimus. Physical examination revealed abdominal tenderness with no associated peritonism. Her biochemistry was unremarkable with a normal white cell count, C-reactive protein, and creatinine.