Endovascular management of acute enteric bleeding from pancreas transplant.
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.
Semiz-Oysu
Aslihan
A
Vascular and Interventional Radiology, University of Michigan Hospital, Ann Arbor, Michigan 48109, USA.
Cwikiel
Wojciech
W
D000208:Acute Disease; D000328:Adult; D004322:Drainage / Q000009:adverse effects; D017809:Fatal Outcome; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007412:Intestinal Fistula / Q000150:complications* / Q000209:etiology / Q000601:surgery; D008297:Male; D016035:Pancreas Transplantation / Q000009:adverse effects*; D010185:Pancreatic Fistula / Q000150:complications* / Q000209:etiology / Q000601:surgery; D019106:Postoperative Hemorrhage / Q000209:etiology* / Q000601:surgery; D012086:Reoperation; D016157:Vascular Fistula / Q000150:complications* / Q000209:etiology / Q000601:surgery; D014656:Vascular Surgical Procedures