Epstein-Barr virus infection in children with liver transplantation

Figure 2 A 4-year-old boy who underwent liver transplantation 3 years ago presented with a subacute fever and abdominal pain. Supine abdominal radiograph showed free intraperitoneal air (white triangle in Figure 2A) and an infiltrative lesion at the duodenojejunal site, a 6 cm mass with a large perforation site at the duodenojejunal junction. Computed tomography images 7 days after exploratory laparotomy showed segmental, irregular bowel wall thickening and aneurysmal dilation of a jejunal loop in the left upper to mid-abdomen (white arrows), matted mesenteric lymph nodes (black triangle), and an enlarged para-aortic lymph node (white triangle). A: Abdominal X-ray; B: Operative finding; C-F: Computed tomography abdomen (cross section).