%0 Journal Article %T Posttransplant Lymphoproliferative Disorder Isolated to the Adrenal Gland in a Liver Transplant Patient %A Imad Nasser %A Joy J. Liu %A Khalid Khwaja %A Michael P. Curry %A Myrna Nahas %A Robert A. Fisher %A Tara T. Ghaziani %A Zhenghui G. Jiang %J Archive of "ACG Case Reports Journal". %D 2018 %R 10.14309/crj.2018.10 %X Posttransplant lymphoproliferative disorder (PTLD) is a serious complication that accounts for up to 20% of malignancies after solid organ transplantation. We describe a rare case of isolated PTLD in the adrenal gland occurring 7 months after liver transplant in a patient who developed a primary Epstein-Barr virus infection. He was treated with rituximab and his immunosuppression regimen was minimized. We review the incidence, pathogenesis, presentation, and management of PTLD in the liver-transplant population. Our case highlights the variation in the presentation of PTLD and the importance of a high index of suspicion among the at-risk group %U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5797803/