Arteriojejunal Fistula Presenting with Recurrent Obscure GI Hemorrhage in a Patient with a Failed Pancreas Allograft
Joint Authors
Sung, Lok
Nwosu, Chinyere
Desai, Nirmit
Wadhwa, Nand K.
Patel, Sagar
Tack, Carl
Nord, Edward P.
Buscaglia, Jonathan M.
Source
Case Reports in Transplantation
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-12-25
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
We present a case of a patient with a failed pancreaticoduodenal allograft with exocrine enteric-drainage who developed catastrophic gastrointestinal (GI) hemorrhage.
Over the course of a week, she presented with recurrent GI bleeds of obscure etiology.
Multiple esophago-gastro-duodenoscopic (EGD) and colonoscopic evaluations failed to reveal the source of the hemorrhage.
A capsule endoscopy and a technetium-labeled red blood cells (RBC) imaging study were similarly unrevealing for source of bleeding.
She subsequently developed hemorrhagic shock requiring emergent superior mesenteric arteriography.
Run off images revealed an external iliac artery aneurysm with fistulization into the jejunum.
Coiled embolization was attempted but abandoned because of hemodynamic instability.
Deployment of a covered endovascular stent into the right external iliac artery over the fistula site resulted in immediate hemodynamic stabilization.
A high index of suspicion for arterioenteric fistulae is needed for diagnosis of this uncommon but eminently treatable form of GI hemorrhage in this patient population.
American Psychological Association (APA)
Desai, Nirmit& Patel, Sagar& Nwosu, Chinyere& Sung, Lok& Tack, Carl& Buscaglia, Jonathan M.…[et al.]. 2013. Arteriojejunal Fistula Presenting with Recurrent Obscure GI Hemorrhage in a Patient with a Failed Pancreas Allograft. Case Reports in Transplantation،Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-451608
Modern Language Association (MLA)
Desai, Nirmit…[et al.]. Arteriojejunal Fistula Presenting with Recurrent Obscure GI Hemorrhage in a Patient with a Failed Pancreas Allograft. Case Reports in Transplantation No. 2013 (2013), pp.1-4.
https://search.emarefa.net/detail/BIM-451608
American Medical Association (AMA)
Desai, Nirmit& Patel, Sagar& Nwosu, Chinyere& Sung, Lok& Tack, Carl& Buscaglia, Jonathan M.…[et al.]. Arteriojejunal Fistula Presenting with Recurrent Obscure GI Hemorrhage in a Patient with a Failed Pancreas Allograft. Case Reports in Transplantation. 2013. Vol. 2013, no. 2013, pp.1-4.
https://search.emarefa.net/detail/BIM-451608
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-451608