Nonresolving Axillary Lymphadenopathy: An Unexpected Case of Metastatic Jejunal Adenocarcinoma in a Small-Bowel Transplant Recipient Masquerading as Posttransplant Lymphoproliferative Disorder

Alexander Hemy; Andrew Fetz; Hyun Jae Kim; Daniel Owen; Saumya Jayakumar

doi:10.14309/crj.0000000000001166

Nonresolving Axillary Lymphadenopathy: An Unexpected Case of Metastatic Jejunal Adenocarcinoma in a Small-Bowel Transplant Recipient Masquerading as Posttransplant Lymphoproliferative Disorder

ACG Case Rep J. 2023 Sep 23;10(9):e01166. doi: 10.14309/crj.0000000000001166. eCollection 2023 Sep.

Authors

Alexander Hemy¹, Andrew Fetz², Hyun Jae Kim², Daniel Owen³, Saumya Jayakumar²

Affiliations

¹ Department of Medicine, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
² Division of Gastroenterology, Department of Medicine, Faculty of Medicine, Vancouver General Hospital, University of British Columbia, Vancouver, British Columbia, Canada.
³ Department of Pathology and Laboratory Medicine, Faculty of Medicine, Vancouver General Hospital, University of British Columbia, Vancouver, British Columbia, Canada.

Abstract

Intestinal transplant is an uncommon treatment of intestinal failure that has provided many patients with reduced morbidity and mortality. However, there are associated risks, including an increased risk of cancer, such as posttransplant lymphoproliferative disorder and solid-organ malignancy. Here, we report a unique case of primary jejunal adenocarcinoma presenting initially only with axillary lymphadenopathy in a patient with recurrent posttransplant lymphoproliferative disorder after multiple solid-organ transplants, including small intestine and 2 renal transplants.

Keywords: jejunal adenocarcinoma; lymphadenopathy; small bowel transplant.

Publication types

Case Reports