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 language | English (US) |
|---|---|
| Pages (from-to) | 415-419 |
| Number of pages | 5 |
| Journal | Vascular and Endovascular Surgery |
| Volume | 53 |
| Issue number | 5 |
| DOIs | |
| State | Published - Jul 1 2019 |
Bibliographical note
Publisher Copyright:© The Author(s) 2019.
UN SDGs
This output contributes to the following UN Sustainable Development Goals (SDGs)
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SDG 3 Good Health and Well-being
Keywords
- ectopic varicosis
- gastrointestinal bleeding
- jejunal varices
- onyx
- pancreas transplant
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