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Transfusion-Dependent Anemia in a Simultaneous Pancreas and Kidney Transplant Recipient

A case of transfusion-dependent anemia in a simultaneous pancreas and kidney (SPK) transplant recipient that masqueraded as gastrointestinal bleeding (GIB) is described. The anemia was attributed to bleeding from the donor duodenal cuff based on balloon enteroscopy findings. The patient underwent mu...

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Detalles Bibliográficos
Autores principales: Gopal, Jeevan Prakash, Taube, David, Martin, John, Deplano, Simona, Desai, Saral, Papalois, Vassilios, Muthusamy, Anand Sivaprakash Rathnasamy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7168697/
https://www.ncbi.nlm.nih.gov/pubmed/32328336
http://dx.doi.org/10.1155/2020/2841456
Descripción
Sumario:A case of transfusion-dependent anemia in a simultaneous pancreas and kidney (SPK) transplant recipient that masqueraded as gastrointestinal bleeding (GIB) is described. The anemia was attributed to bleeding from the donor duodenal cuff based on balloon enteroscopy findings. The patient underwent multiple contrast-enhanced computed tomography scans and multiple endoscopies with confounding features until, eventually, the diagnosis was established. We discuss the diagnostic difficulties and the therapeutic dilemma, along with the pitfalls in ascertaining the final diagnosis.