Crohn's disease post‐cardiac transplantation presenting with severe growth failure and delayed onset of puberty

We report a 15 yr‐old girl who 10 yr post‐cardiac transplantation presented with severe growth failure and delayed onset of puberty. She was found to have pan‐enteric Crohn's disease and has done remarkably well on principally nutritional therapy with a significant growth spurt and the onset of menarche. The development of bowel disease whilst on immunosuppression is rare and the literature is reviewed.