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  • Title: Colon perforation in renal transplant patients.
    Author: Hognestad J, Flatmark A.
    Journal: Scand J Gastroenterol; 1976; 11(3):289-92. PubMed ID: 775614.
    Abstract:
    Six patients with spontaneous colonic perforation after cadaveric kidney transplantation are described. Five perforations occurred in a diverticulum of the sigmoid colon, while one was at the suture line after a colotomy performed 5 months previously. Four patients died. Clinical diagnosis was difficult, but on x-ray examination free air in the abdominal cavity was found in 3 patients. Explorative laparotomy should be performed promptly when the diagnosis is suspected. All patients above the age of 4o should be screened with a barium enema prior to transplantation.
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