Cytomegalovirus Ileitis in Early Period after Kidney Transplantation

One of the most frequent viral infections after kidney transplantation (KT) is cytomegalovirus (CMV) infection. CMV infection causes disease in lung, liver, retina, brain and GI tract and reduce graft survival rate after KT. CMV disease in GI tract is most common in the colon and ileum. CMV enteritis can present with vague abdominal pain, hemorrhage and overt bowel perforation. CMV enteritis in the upper GI tract and colon can be detected early by endoscopy, but it is difficult to diagnose CMV enteritis in the small bowel. We report a rare case with CMV ileitis after KT, who gave up a transplanted kidney at post-operative 3 months in spite of the treatment of CMV infection.

Sciatic Nerve Compression in a Patient with Pesistent Sciatic Artery: A Case Report

The sciatic artery is a major artery of the lower limb during the early embryonic period, which involutes at the third month of embryonic life. The persistent sciatic artery (PSA) is a rare congenital anomaly, which may predispose a subject to atherosclerotic or aneurysmal degeneration. They usually present with leg ischemia or a throbbing buttock mass, but infrequently with a sciatic nerve compression symptom. We report a 56 year- old woman with PSA, who presented with back pain and a sciatic nerve compression symptom, which was erroneously diagnosed as spinal cord compression due to spinal stenosis. She was successfully treated with an above knee femoropopliteal bypass, with a reversed saphenous vein and surgical exclusion of the sciatic artery.

Vein Ligation Combined with Endovenous Laser Treatment in Klippel-Trenaunay Syndrome: A Case Report

Klippel-Trenaunay syndrome is a rare congenital anomaly combined with capillary, venous malformation and limb hypertrophy, which presents with port-wine stain caused by capillary malformation and varicosities, leg swelling, stasis dermatitis, thrombophlebitis and/or deep vein thrombosis induced by deep vein atresia or hypoplasia, and deep vein obstruction due to fibrous band or persistent marginal vein. Treatment is usually conservative as surgery is technically challenging and the excision of varicose vein is incomplete. However, there are several reports, even when varicosities are recurrent, of clinical improvement following excision of the varicose vein in almost all cases. Here the case of a 12 year-old patient, presenting with severe leg pain due to chronic venous hypertension, treated with vein ligation combined with endovenous laser treatment (EVLT).