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

Keywords

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

PubMed: MeSH publication types

  • Case Reports
  • Journal Article

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