Perforation of the gallbladder in a patient with acute cytomegalovirus cholecystitis shortly following renal transplantation

Transpl Infect Dis. 2017 Oct;19(5). doi: 10.1111/tid.12733. Epub 2017 Jul 14.

Abstract

A 74-year-old man with end-stage renal failure secondary to diabetes received a living donor renal transplant (cytomegalovirus [CMV]-seropositive recipient from a CMV-seropositive donor). Computed tomography scan revealed a gallbladder with hemorrhage. On postoperative day 27, cholecystography revealed gallbladder perforation; he underwent an emergency operation. Histological examination of the gallbladder wall was positive for multiple viral inclusion bodies. We report a very rare case of both hemorrhagic and perforated CMV cholecystitis within a month following renal transplantation.

Keywords: cytomegalovirus cholecystitis; gallbladder perforation; renal transplantation.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Cytomegalovirus Infections / complications*
  • Gallbladder Diseases / etiology*
  • Gallbladder Diseases / pathology*
  • Humans
  • Kidney Transplantation / adverse effects*
  • Male