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...
Autores principales: | , , |
---|---|
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 |