Skip to main content
Top
Published in: CardioVascular and Interventional Radiology 2/2007

01-04-2007 | CASE REPORT

Endovascular Management of Acute Enteric Bleeding from Pancreas Transplant

Authors: Aslihan Semiz-Oysu, Wojciech Cwikiel

Published in: CardioVascular and Interventional Radiology | Issue 2/2007

Login to get access

Abstract

Arterioenteric fistula is a rare but serious complication of enteric drained pancreas transplant, which may lead to massive gastrointestinal bleeding. We present 3 patients with failed enteric drained pancreas transplants and massive gastrointestinal bleeding secondary to arterioenteric fistula. One patient was treated by embolization and the 2 others by stent graft placement. Bleeding was successfully controlled in all cases, at follow up of 5 days, 8 months, and 12 months, respectively. One patient died 24 days after embolization, of unknown causes.
Literature
1.
go back to reference Orsenigo E, Fiorina P, Dell’Antonio G, et al. (2005) Gastrointestinal bleeding from enterically drained transplanted pancreas. Transplant Int 18:296–302CrossRef Orsenigo E, Fiorina P, Dell’Antonio G, et al. (2005) Gastrointestinal bleeding from enterically drained transplanted pancreas. Transplant Int 18:296–302CrossRef
2.
go back to reference Tan M, Di Carlo A, Stein LA, et al. (2001) Pseudoaneurysm of the superior mesenteric artery after pancreas transplantation treated by endovascular stenting. Transplantation 72:336–338PubMedCrossRef Tan M, Di Carlo A, Stein LA, et al. (2001) Pseudoaneurysm of the superior mesenteric artery after pancreas transplantation treated by endovascular stenting. Transplantation 72:336–338PubMedCrossRef
3.
go back to reference Green BT, Tuttle-Newhall J, Suhocki P, et al. (2004) Massive gastrointestinal hemorrhage due to rupture of a donor pancreatic artery pseudoaneurysm in a pancreas transplant patient. Clin Transplant 18:108–111PubMedCrossRef Green BT, Tuttle-Newhall J, Suhocki P, et al. (2004) Massive gastrointestinal hemorrhage due to rupture of a donor pancreatic artery pseudoaneurysm in a pancreas transplant patient. Clin Transplant 18:108–111PubMedCrossRef
4.
go back to reference Dalla Valle R, Capocasale E, Mazzoni MP, et al. (2005) Embolization of a ruptured pseudoaneurysm with massive hemorrhage following pancreas transplantation: A case report. Transplant Proc 37:2275–2277PubMedCrossRef Dalla Valle R, Capocasale E, Mazzoni MP, et al. (2005) Embolization of a ruptured pseudoaneurysm with massive hemorrhage following pancreas transplantation: A case report. Transplant Proc 37:2275–2277PubMedCrossRef
5.
go back to reference McBeth BD, Stern SA (2003) Lower gastrointestinal hemorrhage from an arterioenteric fistula in a pancreatorenal transplant patient. Ann Emerg Med 42:587–591PubMedCrossRef McBeth BD, Stern SA (2003) Lower gastrointestinal hemorrhage from an arterioenteric fistula in a pancreatorenal transplant patient. Ann Emerg Med 42:587–591PubMedCrossRef
6.
go back to reference Gritsch HA, Shapiro R, Egidi F, et al. (1997) Spontaneous arterioenteric fistula after pancreas transplantation. Transplantation 63:903–904PubMedCrossRef Gritsch HA, Shapiro R, Egidi F, et al. (1997) Spontaneous arterioenteric fistula after pancreas transplantation. Transplantation 63:903–904PubMedCrossRef
7.
go back to reference Rosch J, Kozak BE, Keller FS, et al. (1986) Interventional angiography in the diagnosis of acute lower gastrointestinal bleeding. Eur J Radiol 6:136–141PubMed Rosch J, Kozak BE, Keller FS, et al. (1986) Interventional angiography in the diagnosis of acute lower gastrointestinal bleeding. Eur J Radiol 6:136–141PubMed
8.
go back to reference Ryan JM, Key SM, Dumbleton SA, et al. (2001) Nonlocalized lower gastrointestinal bleeding: provocative bleeding studies with intraarterial tPA, heparin, and tolazoline. J Vasc Interv Radiol 12:1273–1277PubMed Ryan JM, Key SM, Dumbleton SA, et al. (2001) Nonlocalized lower gastrointestinal bleeding: provocative bleeding studies with intraarterial tPA, heparin, and tolazoline. J Vasc Interv Radiol 12:1273–1277PubMed
9.
go back to reference Paduch DA, Conlin M, Dematos A, et al. (2000) Arterial duodenovesical fistula after simultaneous pancreas and kidney transplantation. J Urol 164:1296PubMedCrossRef Paduch DA, Conlin M, Dematos A, et al. (2000) Arterial duodenovesical fistula after simultaneous pancreas and kidney transplantation. J Urol 164:1296PubMedCrossRef
Metadata
Title
Endovascular Management of Acute Enteric Bleeding from Pancreas Transplant
Authors
Aslihan Semiz-Oysu
Wojciech Cwikiel
Publication date
01-04-2007
Publisher
Springer-Verlag
Published in
CardioVascular and Interventional Radiology / Issue 2/2007
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-006-0058-z

Other articles of this Issue 2/2007

CardioVascular and Interventional Radiology 2/2007 Go to the issue