Recurrent Ectopic Variceal Bleed After Pancreas Transplantation With No Portal Hypertension

Case Report and Outcomes of Endovascular Onyx Embolization

Nassir Rostambeigi, Prashant Shrestha, Ty B. Dunn, Jafar Golzarian, Pooria Khoshnoodi, Michael S Rosenberg, Reza Talaie

Research output: Contribution to journalArticle

Abstract

A 57-year-old male presented with intermittent gastrointestinal bleeding (GIB) 1 year after a successful simultaneous pancreas and kidney transplant. No source could be found after 5 tagged red blood cell studies, 3 computed tomographies (CTs), 7 endoscopies, and 4 catheter angiograms. Review of CTs showed pathologically enlarged superior mesenteric vein branches near a jejunal segment near pancreas graft. Transhepatic superior mesenteric venogram showed varicosities near jejunum, which were obliterated with ethylene vinyl alcohol (Onyx). Follow-up CTs confirmed complete obliteration, but he had more GIBs and eventually underwent native jejunal and donor duodenal resection. He has remained GIB-free for 12 months.

Original languageEnglish (US)
Pages (from-to)415-419
Number of pages5
JournalVascular and Endovascular Surgery
Volume53
Issue number5
DOIs
StatePublished - Jul 1 2019

Fingerprint

Pancreas Transplantation
Portal Hypertension
Tomography
Pancreas
Hemorrhage
Transplants
Mesenteric Veins
Jejunum
Endoscopy
Angiography
Catheters
Erythrocytes
Alcohols
Kidney

Keywords

  • ectopic varicosis
  • gastrointestinal bleeding
  • jejunal varices
  • onyx
  • pancreas transplant

PubMed: MeSH publication types

  • Case Reports
  • Journal Article

Cite this

Recurrent Ectopic Variceal Bleed After Pancreas Transplantation With No Portal Hypertension : Case Report and Outcomes of Endovascular Onyx Embolization. / Rostambeigi, Nassir; Shrestha, Prashant; Dunn, Ty B.; Golzarian, Jafar; Khoshnoodi, Pooria; Rosenberg, Michael S; Talaie, Reza.

In: Vascular and Endovascular Surgery, Vol. 53, No. 5, 01.07.2019, p. 415-419.

Research output: Contribution to journalArticle

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