Colonic perforation after rituximab treatment for posttransplant lymphoproliferative disorder.

FIGURE 4. Gross pathology specimen showing a 1.5-cm defect in the sigmoid colonic wall. FIGURE 3. Colonoscopy performed postrituximab therapy. Large perforation noted in the sigmoid colon. FIGURE 2. Histology of colonic biopsy shows nuclear positivity for Epstein-Barr virus–encoded RNA (EBER) by in situ hybridization (black arrows) (EBER in situ hybridization; original magnification 200). FIGURE 1. Magnetic resonance enterography of the abdomen showing retroperitoneal lymphadenopathy, evidence of mesenteric infiltration, focal dilatation, and bowel wall thickening in the sigmoid colon (yellow arrow) suggestive of posttransplant lymphoproliferative disorder.