History and images

Our appreciation is extended to Dr. Richard Wu, University of Pennsylvania Department of Radiology, for contributing this case.

History: A 57-year-old man with a history of fibrotic lung disease status post bilateral orthotopic lung transplant presented with a three-day history of periumbilical and epigastric abdominal pain associated with nausea, vomiting, and inability to tolerate oral intake. Initial CT abdomen with intravenous contrast is shown below. Click images to enlarge.