title: Successful embolization of a cytomegalovirus-related duodenal ulcer in a kidney-pancreas transplant recipient.
abstract: One of the complications that can occur in pancreas transplant is a massive intestinal hemorrhage, although such a hemorrhage is very rarely caused by ulcers due to cytomegalovirus infection. Treatment is fundamentally based on relaparatomy, although in some cases interventional radiology can be an efficient alternative because it allows the exact bleeding point to be located and therapeutic embolization to be performed. In this case, a man with diabetes type 1 who was given a simultaneous kidney-pancreas transplant had an ulcer due to cytomegalovirus infection develop in the duodenal graft (in the early postoperative period), causing a severe hemorrhage in the lower part of the gastrointestinal tract that was controlled via selective embolization of a branch of the pancreaticoduodenal artery.
authors.affiliation: Hospital Clínico Universitario Virgen de la Arrixaca, Murcia, Spain. arzrios@um.es
authors.forename: Antonio
authors.initials: A
authors.lastname: Ríos
authors.forename: Beatriz
authors.initials: B
authors.lastname: Febrero
authors.forename: Pablo
authors.initials: P
authors.lastname: Ramírez
authors.forename: Jose Manuel
authors.initials: JM
authors.lastname: Rodriguez
authors.forename: Ricardo
authors.initials: R
authors.lastname: Robles
authors.forename: Francisco Sánchez
authors.initials: FS
authors.lastname: Bueno
authors.forename: José García
authors.initials: JG
authors.lastname: Medina
authors.forename: Antonio
authors.initials: A
authors.lastname: Capel
authors.forename: Pascual
authors.initials: P
authors.lastname: Parrilla
mesh_terms: D000328:Adult; D000792:Angiography; D003586:Cytomegalovirus Infections / Q000628:therapy*; D003922:Diabetes Mellitus, Type 1 / Q000601:surgery*; D004381:Duodenal Ulcer / Q000628:therapy* / Q000821:virology*; D004621:Embolization, Therapeutic / Q000379:methods*; D006471:Gastrointestinal Hemorrhage / Q000628:therapy* / Q000821:virology*; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D016035:Pancreas Transplantation