title: Arterial Pseudoaneurysm Associated with Pancreas and Kidney Transplantation: A Case Report.
abstract: BACKGROUND Pseudoaneurysm is a rare vascular complication in pancreas transplantation. This complication develops from a disruption of the arterial continuity, usually related to trauma, infection, vasculitis, or complications in vascular procedures. CASE REPORT A 43-year-old man underwent simultaneous pancreas and kidney transplantation for end-stage renal disease. He subsequently developed acute pancreatitis and acute kidney cellular rejection as late complications, thus returning to hemodialysis. A new, uneventful kidney transplantectomy and living donor kidney transplant was performed. One year after the last transplant, the patient presented with moderate abdominal pain, fever, and a pulsatile tumor located in the right iliac fossa. A pseudoaneurysm located in the pancreatic Y graft was observed. The patient was treated using an endovascular and surgical approach. CONCLUSIONS A combined procedure using an endovascular and surgical approach promoted a good vascular control with a lower risk of bleeding in a rare case of pseudoaneurysm in a transplant patient.
authors.affiliation: Liver and Digestive Organ Transplantation Division, Department of Gastroenterology, Clinicas Hospital, University of São Paulo Medical School, São Paulo, SP, Brazil.
authors.forename: Rubens Macedo
authors.initials: RM
authors.lastname: Arantes
authors.affiliation: Liver and Digestive Organ Transplantation Division, Department of Gastroenterology, Clinicas Hospital, University of São Paulo Medical School, São Paulo, SP, Brazil.
authors.forename: Carlos Andrés Rodriguez
authors.initials: CA
authors.lastname: Pantanali
authors.affiliation: Liver and Digestive Organ Transplantation Division, Department of Gastroenterology, Clinicas Hospital, University of São Paulo Medical School, São Paulo, SP, Brazil.
authors.forename: Vinicius Rocha
authors.initials: VR
authors.lastname: Santos
authors.affiliation: Liver and Digestive Organ Transplantation Division, Department of Gastroenterology, Clinicas Hospital, University of São Paulo Medical School, São Paulo, SP, Brazil.
authors.forename: Luiz Augusto
authors.initials: LA
authors.lastname: Carneiro D'Albuquerque
mesh_terms: D000328:Adult; D017541:Aneurysm, False / Q000209:etiology* / Q000601:surgery*; D003922:Diabetes Mellitus, Type 1 / Q000150:complications; D006801:Humans; D007083:Iliac Artery / Q000601:surgery*; D007676:Kidney Failure, Chronic / Q000601:surgery*; D016030:Kidney Transplantation / Q000009:adverse effects*; D008297:Male; D016035:Pancreas Transplantation / Q000009:adverse effects*; D012086:Reoperation; D012307:Risk Factors; D016896:Treatment Outcome