Cargando…

GI Hemorrhage From an Arterio-Enteric Fistula From a Failed Pancreas Allograft

Arterio-enteric fistulas involving pancreas allograft are rare complications of transplantation that manifest as gastrointestinal bleeding. We discuss the case of a 34-year-old patient with failed pancreas transplant who presented with recurrent sentinel bleeding before catastrophic hemorrhage. Mult...

Descripción completa

Detalles Bibliográficos
Autores principales: David, Robin, Trieu, Judy A., Shokoohi, Susanne
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9270599/
https://www.ncbi.nlm.nih.gov/pubmed/35822156
http://dx.doi.org/10.14309/crj.0000000000000822
_version_ 1784744500110819328
author David, Robin
Trieu, Judy A.
Shokoohi, Susanne
author_facet David, Robin
Trieu, Judy A.
Shokoohi, Susanne
author_sort David, Robin
collection PubMed
description Arterio-enteric fistulas involving pancreas allograft are rare complications of transplantation that manifest as gastrointestinal bleeding. We discuss the case of a 34-year-old patient with failed pancreas transplant who presented with recurrent sentinel bleeding before catastrophic hemorrhage. Multiple endoscopies did not identify the source of bleeding, and subsequent angiography demonstrated a fistulous connection between the transplanted pancreatic artery and the small bowel. A stent graft was placed with immediate stabilization. We provide a review of the literature and discuss the clinical manifestations, diagnosis, and management of arterio-enteric fistulas to highlight the importance of early recognition and intervention in preventing life-threatening bleeding.
format Online
Article
Text
id pubmed-9270599
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Wolters Kluwer
record_format MEDLINE/PubMed
spelling pubmed-92705992022-07-11 GI Hemorrhage From an Arterio-Enteric Fistula From a Failed Pancreas Allograft David, Robin Trieu, Judy A. Shokoohi, Susanne ACG Case Rep J Case Report Arterio-enteric fistulas involving pancreas allograft are rare complications of transplantation that manifest as gastrointestinal bleeding. We discuss the case of a 34-year-old patient with failed pancreas transplant who presented with recurrent sentinel bleeding before catastrophic hemorrhage. Multiple endoscopies did not identify the source of bleeding, and subsequent angiography demonstrated a fistulous connection between the transplanted pancreatic artery and the small bowel. A stent graft was placed with immediate stabilization. We provide a review of the literature and discuss the clinical manifestations, diagnosis, and management of arterio-enteric fistulas to highlight the importance of early recognition and intervention in preventing life-threatening bleeding. Wolters Kluwer 2022-07-11 /pmc/articles/PMC9270599/ /pubmed/35822156 http://dx.doi.org/10.14309/crj.0000000000000822 Text en © 2022 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
David, Robin
Trieu, Judy A.
Shokoohi, Susanne
GI Hemorrhage From an Arterio-Enteric Fistula From a Failed Pancreas Allograft
title GI Hemorrhage From an Arterio-Enteric Fistula From a Failed Pancreas Allograft
title_full GI Hemorrhage From an Arterio-Enteric Fistula From a Failed Pancreas Allograft
title_fullStr GI Hemorrhage From an Arterio-Enteric Fistula From a Failed Pancreas Allograft
title_full_unstemmed GI Hemorrhage From an Arterio-Enteric Fistula From a Failed Pancreas Allograft
title_short GI Hemorrhage From an Arterio-Enteric Fistula From a Failed Pancreas Allograft
title_sort gi hemorrhage from an arterio-enteric fistula from a failed pancreas allograft
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9270599/
https://www.ncbi.nlm.nih.gov/pubmed/35822156
http://dx.doi.org/10.14309/crj.0000000000000822
work_keys_str_mv AT davidrobin gihemorrhagefromanarterioentericfistulafromafailedpancreasallograft
AT trieujudya gihemorrhagefromanarterioentericfistulafromafailedpancreasallograft
AT shokoohisusanne gihemorrhagefromanarterioentericfistulafromafailedpancreasallograft