North American Journal of Medical Sciences

CASE REPORT
Year
: 2014  |  Volume : 6  |  Issue : 11  |  Page : 599--600

Perforated jejunal diverticulum in the use of mycophenolate mofetil


Charat Thongprayoon1, Wisit Cheungpasitporn1, Peter J Edmonds2, Natanong Thamcharoen3 
1 Department of Medicine, Mayo Clinic, Rochester, Minnesota, USA
2 SUNY Upstate Medical University, Syracuse, New York, USA
3 Department of Medicine, Bassett Medical Center, Cooperstown, New York, USA

Correspondence Address:
Wisit Cheungpasitporn
Mayo Clinic, Rochester, Minnesota- 55905
USA

Context: Jejunal diverticulosis is a rare disease. Common acute complications include diverticulitis, intestinal obstruction, bleeding and perforation. Gastrointestinal tract perorations have also been rarely observed in the use of mycophenolate mofetil. Case Report: We report a 44-year-old man with end-stage renal disease post failed kidney transplant on low-dose mycophenolate mofetil who presented with acute onset of abdominal pain. He was successfully given the diagnosis of perforated jejunal diverticulum. The patient successfully underwent a segmental jejunal resection and anastomosis. He unfortunately developed a recurrent jejunal perforation a month later and again had the second segmental jejunal resection operation. Mycophenolate mofetil then was discontinued. Conclusion: The present case illustrates jejunal diverticulum perforation in the use of mycophenolate mofetil. Physicians should increase the awareness of this association of perforated jejunal diverticulum in patients using mycophenolate mofetil.


How to cite this article:
Thongprayoon C, Cheungpasitporn W, Edmonds PJ, Thamcharoen N. Perforated jejunal diverticulum in the use of mycophenolate mofetil.North Am J Med Sci 2014;6:599-600


How to cite this URL:
Thongprayoon C, Cheungpasitporn W, Edmonds PJ, Thamcharoen N. Perforated jejunal diverticulum in the use of mycophenolate mofetil. North Am J Med Sci [serial online] 2014 [cited 2022 May 24 ];6:599-600
Available from: https://www.najms.org/article.asp?issn=1947-2714;year=2014;volume=6;issue=11;spage=599;epage=600;aulast=Thongprayoon;type=0