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Duodenal Perforation With Transplant Hepatic Artery Pseudoaneurysm

A transplant hepatic artery pseudoaneurysm is a rare postorthotopic liver transplant complication. Bleeding is a common complication of posterior duodenal ulcer secondary to erosion into the gastroduodenal artery. We report the case of a post-transplant patient who presented with massive upper gastr...

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Autores principales: Votta, Kaitlyn, Dhanekula, Raja K., Frank, Adam M., Sass, David A., Shah, Ashesh P.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6722332/
https://www.ncbi.nlm.nih.gov/pubmed/31616777
http://dx.doi.org/10.14309/crj.0000000000000117
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author Votta, Kaitlyn
Dhanekula, Raja K.
Frank, Adam M.
Sass, David A.
Shah, Ashesh P.
author_facet Votta, Kaitlyn
Dhanekula, Raja K.
Frank, Adam M.
Sass, David A.
Shah, Ashesh P.
author_sort Votta, Kaitlyn
collection PubMed
description A transplant hepatic artery pseudoaneurysm is a rare postorthotopic liver transplant complication. Bleeding is a common complication of posterior duodenal ulcer secondary to erosion into the gastroduodenal artery. We report the case of a post-transplant patient who presented with massive upper gastrointestinal hemorrhage in the setting of nonsteroidal anti-inflammatory drug use. Endoscopy demonstrated a duodenal ulcer with high-risk stigmata not amenable to hemostasis. Subsequently, an arteriogram revealed a hepatic artery pseudoaneurysm. Transplant professionals should be aware of the possibility of an ulcer eroding into the liver vasculature and in the differential diagnosis for bleeding and pseudoaneurysms in post-transplant patients.
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spelling pubmed-67223322019-10-15 Duodenal Perforation With Transplant Hepatic Artery Pseudoaneurysm Votta, Kaitlyn Dhanekula, Raja K. Frank, Adam M. Sass, David A. Shah, Ashesh P. ACG Case Rep J Case Report A transplant hepatic artery pseudoaneurysm is a rare postorthotopic liver transplant complication. Bleeding is a common complication of posterior duodenal ulcer secondary to erosion into the gastroduodenal artery. We report the case of a post-transplant patient who presented with massive upper gastrointestinal hemorrhage in the setting of nonsteroidal anti-inflammatory drug use. Endoscopy demonstrated a duodenal ulcer with high-risk stigmata not amenable to hemostasis. Subsequently, an arteriogram revealed a hepatic artery pseudoaneurysm. Transplant professionals should be aware of the possibility of an ulcer eroding into the liver vasculature and in the differential diagnosis for bleeding and pseudoaneurysms in post-transplant patients. Wolters Kluwer 2019-06-25 /pmc/articles/PMC6722332/ /pubmed/31616777 http://dx.doi.org/10.14309/crj.0000000000000117 Text en © 2019 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology. 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) (http://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
Votta, Kaitlyn
Dhanekula, Raja K.
Frank, Adam M.
Sass, David A.
Shah, Ashesh P.
Duodenal Perforation With Transplant Hepatic Artery Pseudoaneurysm
title Duodenal Perforation With Transplant Hepatic Artery Pseudoaneurysm
title_full Duodenal Perforation With Transplant Hepatic Artery Pseudoaneurysm
title_fullStr Duodenal Perforation With Transplant Hepatic Artery Pseudoaneurysm
title_full_unstemmed Duodenal Perforation With Transplant Hepatic Artery Pseudoaneurysm
title_short Duodenal Perforation With Transplant Hepatic Artery Pseudoaneurysm
title_sort duodenal perforation with transplant hepatic artery pseudoaneurysm
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6722332/
https://www.ncbi.nlm.nih.gov/pubmed/31616777
http://dx.doi.org/10.14309/crj.0000000000000117
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