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Case report
Chronic mesenteric ischaemia masked by candida esophagitis in a renal transplant patient

Abstract

Chronic mesenteric ischaemia is a severe disease that is often missed due to its non-specific presentation. Immunosuppressed patients are at risk for infectious gastrointestinal disease, which may further obscure the diagnosis of chronic mesenteric ischaemia. In this case, a patient’s symptoms and diagnostic workup were consistent with candida esophagitis. Worsening leukocytosis despite treatment, however, prompted re-evaluation ultimately revealing a superior mesenteric artery thrombus causing mesenteric ischaemia. The patient required urgent surgical intervention for the management of his disease.

  • gastrointestinal system
  • renal system
  • renal transplantation
  • vascular surgery
  • general practice / family medicine

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