Skip to main content
SpringerLink
Log in

Endovascular Management of Acute Enteric Bleeding from Pancreas Transplant

  • CASE REPORT
  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1.
Fig. 2.
Fig. 3.

Similar content being viewed by others

References

  1. Orsenigo E, Fiorina P, Dell’Antonio G, et al. (2005) Gastrointestinal bleeding from enterically drained transplanted pancreas. Transplant Int 18:296–302

    Article  Google Scholar 

  2. Tan M, Di Carlo A, Stein LA, et al. (2001) Pseudoaneurysm of the superior mesenteric artery after pancreas transplantation treated by endovascular stenting. Transplantation 72:336–338

    Article  PubMed  CAS  Google Scholar 

  3. 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 18:108–111

    Article  PubMed  Google Scholar 

  4. 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 37:2275–2277

    Article  PubMed  CAS  Google Scholar 

  5. McBeth BD, Stern SA (2003) Lower gastrointestinal hemorrhage from an arterioenteric fistula in a pancreatorenal transplant patient. Ann Emerg Med 42:587–591

    Article  PubMed  Google Scholar 

  6. Gritsch HA, Shapiro R, Egidi F, et al. (1997) Spontaneous arterioenteric fistula after pancreas transplantation. Transplantation 63:903–904

    Article  PubMed  CAS  Google Scholar 

  7. Rosch J, Kozak BE, Keller FS, et al. (1986) Interventional angiography in the diagnosis of acute lower gastrointestinal bleeding. Eur J Radiol 6:136–141

    PubMed  CAS  Google Scholar 

  8. 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 12:1273–1277

    PubMed  CAS  Google Scholar 

  9. Paduch DA, Conlin M, Dematos A, et al. (2000) Arterial duodenovesical fistula after simultaneous pancreas and kidney transplantation. J Urol 164:1296

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Vascular and Interventional Radiology, University of Michigan Hospital, Ann Arbor, Michigan, USA

    Aslihan Semiz-Oysu & Wojciech Cwikiel

  2. Department of Radiology, University of Michigan Hospital, 1500 E. Medical Center Drive, Ann Arbor, MI, 48109-0030, USA

    Wojciech Cwikiel

Authors
  1. Aslihan Semiz-Oysu
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Wojciech Cwikiel
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Wojciech Cwikiel.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Semiz-Oysu, A., Cwikiel, W. Endovascular Management of Acute Enteric Bleeding from Pancreas Transplant. Cardiovasc Intervent Radiol 30, 313–316 (2007). https://doi.org/10.1007/s00270-006-0058-z

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00270-006-0058-z

Keywords

Search

Navigation