Multidisciplinary Diagnosis and Management of a Rare Dysplastic Adenoma Involving a Pancreas Transplant

A 52-year-old man with a history of type 1 diabetes mellitus with diabetic nephropathy who underwent simultaneous pancreas–kidney transplant over a decade ago presented with small bowel obstruction and was found by enteroscopy to have a carpeted lesion encompassing the small bowel anastomosis in the...

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Autores principales: Kayaalp, Cemil, Are, Vijay S., Kandaswamy, Raja, Amateau, Stuart K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer 2023
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10402948/
https://www.ncbi.nlm.nih.gov/pubmed/37547479
http://dx.doi.org/10.14309/crj.0000000000001122
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author Kayaalp, Cemil
Are, Vijay S.
Kandaswamy, Raja
Amateau, Stuart K.
author_facet Kayaalp, Cemil
Are, Vijay S.
Kandaswamy, Raja
Amateau, Stuart K.
author_sort Kayaalp, Cemil
collection PubMed
description A 52-year-old man with a history of type 1 diabetes mellitus with diabetic nephropathy who underwent simultaneous pancreas–kidney transplant over a decade ago presented with small bowel obstruction and was found by enteroscopy to have a carpeted lesion encompassing the small bowel anastomosis in the region of the donor pancreas. As endoscopic mucosal resection was impracticable because of technical limitations, the patient was referred to transplant surgical team for surgical exploration and ultimately required organ resection. This represents a unique presentation of an ampullary adenoma with high-grade dysplasia requiring device-assisted enteroscopy requiring multidisciplinary management.
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spelling pubmed-104029482023-08-05 Multidisciplinary Diagnosis and Management of a Rare Dysplastic Adenoma Involving a Pancreas Transplant Kayaalp, Cemil Are, Vijay S. Kandaswamy, Raja Amateau, Stuart K. ACG Case Rep J Case Report A 52-year-old man with a history of type 1 diabetes mellitus with diabetic nephropathy who underwent simultaneous pancreas–kidney transplant over a decade ago presented with small bowel obstruction and was found by enteroscopy to have a carpeted lesion encompassing the small bowel anastomosis in the region of the donor pancreas. As endoscopic mucosal resection was impracticable because of technical limitations, the patient was referred to transplant surgical team for surgical exploration and ultimately required organ resection. This represents a unique presentation of an ampullary adenoma with high-grade dysplasia requiring device-assisted enteroscopy requiring multidisciplinary management. Wolters Kluwer 2023-08-04 /pmc/articles/PMC10402948/ /pubmed/37547479 http://dx.doi.org/10.14309/crj.0000000000001122 Text en © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Case Report
Kayaalp, Cemil
Are, Vijay S.
Kandaswamy, Raja
Amateau, Stuart K.
Multidisciplinary Diagnosis and Management of a Rare Dysplastic Adenoma Involving a Pancreas Transplant
title Multidisciplinary Diagnosis and Management of a Rare Dysplastic Adenoma Involving a Pancreas Transplant
title_full Multidisciplinary Diagnosis and Management of a Rare Dysplastic Adenoma Involving a Pancreas Transplant
title_fullStr Multidisciplinary Diagnosis and Management of a Rare Dysplastic Adenoma Involving a Pancreas Transplant
title_full_unstemmed Multidisciplinary Diagnosis and Management of a Rare Dysplastic Adenoma Involving a Pancreas Transplant
title_short Multidisciplinary Diagnosis and Management of a Rare Dysplastic Adenoma Involving a Pancreas Transplant
title_sort multidisciplinary diagnosis and management of a rare dysplastic adenoma involving a pancreas transplant
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10402948/
https://www.ncbi.nlm.nih.gov/pubmed/37547479
http://dx.doi.org/10.14309/crj.0000000000001122
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