A Rare Cause and Alternative Algorithm for the Treatment of Gastrointestinal (GI) Bleed: Complications of a Failed Pancreatic Transplant

A 39-year-old woman with no known risk factors presented for a recurrent upper gastrointestinal (GI) bleed. She had a prior history of failed kidney and pancreatic transplants secondary to childhood diabetes mellitus type I. After an extensive workup, she was found to have active hemorrhage into an...

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Autores principales: Afzal, Soha, Mathew Vennikandam, Madhu, Ahmad, Iftiker, Coleski, Radoslav, Jones, Dorian
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Cardiac/Thoracic/Vascular Surgery
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10310495/
https://www.ncbi.nlm.nih.gov/pubmed/37398825
http://dx.doi.org/10.7759/cureus.39741
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author Afzal, Soha
Mathew Vennikandam, Madhu
Ahmad, Iftiker
Coleski, Radoslav
Jones, Dorian
author_facet Afzal, Soha
Mathew Vennikandam, Madhu
Ahmad, Iftiker
Coleski, Radoslav
Jones, Dorian
author_sort Afzal, Soha
collection PubMed
description A 39-year-old woman with no known risk factors presented for a recurrent upper gastrointestinal (GI) bleed. She had a prior history of failed kidney and pancreatic transplants secondary to childhood diabetes mellitus type I. After an extensive workup, she was found to have active hemorrhage into an area of the small bowel from an artery supplying her failed pancreatic transplant. Here, we discuss the importance of a systematic approach to evaluation, a high index of suspicion, and a known but not entirely common method of treatment for this condition.
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spelling pubmed-103104952023-07-01 A Rare Cause and Alternative Algorithm for the Treatment of Gastrointestinal (GI) Bleed: Complications of a Failed Pancreatic Transplant Afzal, Soha Mathew Vennikandam, Madhu Ahmad, Iftiker Coleski, Radoslav Jones, Dorian Cureus Cardiac/Thoracic/Vascular Surgery A 39-year-old woman with no known risk factors presented for a recurrent upper gastrointestinal (GI) bleed. She had a prior history of failed kidney and pancreatic transplants secondary to childhood diabetes mellitus type I. After an extensive workup, she was found to have active hemorrhage into an area of the small bowel from an artery supplying her failed pancreatic transplant. Here, we discuss the importance of a systematic approach to evaluation, a high index of suspicion, and a known but not entirely common method of treatment for this condition. Cureus 2023-05-30 /pmc/articles/PMC10310495/ /pubmed/37398825 http://dx.doi.org/10.7759/cureus.39741 Text en Copyright © 2023, Afzal et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Cardiac/Thoracic/Vascular Surgery
Afzal, Soha
Mathew Vennikandam, Madhu
Ahmad, Iftiker
Coleski, Radoslav
Jones, Dorian
A Rare Cause and Alternative Algorithm for the Treatment of Gastrointestinal (GI) Bleed: Complications of a Failed Pancreatic Transplant
title A Rare Cause and Alternative Algorithm for the Treatment of Gastrointestinal (GI) Bleed: Complications of a Failed Pancreatic Transplant
title_full A Rare Cause and Alternative Algorithm for the Treatment of Gastrointestinal (GI) Bleed: Complications of a Failed Pancreatic Transplant
title_fullStr A Rare Cause and Alternative Algorithm for the Treatment of Gastrointestinal (GI) Bleed: Complications of a Failed Pancreatic Transplant
title_full_unstemmed A Rare Cause and Alternative Algorithm for the Treatment of Gastrointestinal (GI) Bleed: Complications of a Failed Pancreatic Transplant
title_short A Rare Cause and Alternative Algorithm for the Treatment of Gastrointestinal (GI) Bleed: Complications of a Failed Pancreatic Transplant
title_sort rare cause and alternative algorithm for the treatment of gastrointestinal (gi) bleed: complications of a failed pancreatic transplant
topic Cardiac/Thoracic/Vascular Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10310495/
https://www.ncbi.nlm.nih.gov/pubmed/37398825
http://dx.doi.org/10.7759/cureus.39741
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