PMC6925563_01
Facial vasculitis and symptoms of Cushing syndrome in the NBS patient at days: +19, +20 and +26 after transplantation
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A and mycophenolate mofetil, however due to deterioration of parameters of the renal function, cyclosporine was converted to sirolimus, which in turn was converted to methylprednisolone, due to facial vasculitis (Fig. 1). Additionally, at day +5 rituximab was administered prophylactically against EBV reactivation and development of post-transplant lymphoproliferative disorder (EBV-PTLD).
ERCP showing a common bile duct (day +35): A) mildly dilated duct with biliary stone (black arrow) before extraction, B) with no signs of dilation after stone extraction (6 weeks later)
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Additionally a 5 cm 7F prosthesis was inserted into the distal CBD (Fig. 2).
Endoscopic picture showing deep 2 cm in diameter crater-like ulcer located at the recto-sigmoid junction covered by yellowish slough with inflamed surrounding mucosa (day +104)
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Another ulcer was found at the recto-sigmoid junction (Fig. 3).