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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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:
Case Report
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
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author Gopal, Jeevan Prakash
Taube, David
Martin, John
Deplano, Simona
Desai, Saral
Papalois, Vassilios
Muthusamy, Anand Sivaprakash Rathnasamy
author_facet Gopal, Jeevan Prakash
Taube, David
Martin, John
Deplano, Simona
Desai, Saral
Papalois, Vassilios
Muthusamy, Anand Sivaprakash Rathnasamy
author_sort Gopal, Jeevan Prakash
collection PubMed
description 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.
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spelling pubmed-71686972020-04-23 Transfusion-Dependent Anemia in a Simultaneous Pancreas and Kidney Transplant Recipient Gopal, Jeevan Prakash Taube, David Martin, John Deplano, Simona Desai, Saral Papalois, Vassilios Muthusamy, Anand Sivaprakash Rathnasamy Case Rep Transplant Case Report 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. Hindawi 2020-04-08 /pmc/articles/PMC7168697/ /pubmed/32328336 http://dx.doi.org/10.1155/2020/2841456 Text en Copyright © 2020 Jeevan Prakash Gopal et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Gopal, Jeevan Prakash
Taube, David
Martin, John
Deplano, Simona
Desai, Saral
Papalois, Vassilios
Muthusamy, Anand Sivaprakash Rathnasamy
Transfusion-Dependent Anemia in a Simultaneous Pancreas and Kidney Transplant Recipient
title Transfusion-Dependent Anemia in a Simultaneous Pancreas and Kidney Transplant Recipient
title_full Transfusion-Dependent Anemia in a Simultaneous Pancreas and Kidney Transplant Recipient
title_fullStr Transfusion-Dependent Anemia in a Simultaneous Pancreas and Kidney Transplant Recipient
title_full_unstemmed Transfusion-Dependent Anemia in a Simultaneous Pancreas and Kidney Transplant Recipient
title_short Transfusion-Dependent Anemia in a Simultaneous Pancreas and Kidney Transplant Recipient
title_sort transfusion-dependent anemia in a simultaneous pancreas and kidney transplant recipient
topic Case Report
url 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
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