Recurrent Ectopic Variceal Bleed After Pancreas Transplantation With No Portal Hypertension: Case Report and Outcomes of Endovascular Onyx Embolization.

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.

journal_name

Vasc Endovascular Surg

authors

Rostambeigi N,Shrestha P,Dunn TB,Golzarian J,Khoshnoodi P,Rosenberg M,Talaie R

doi

10.1177/1538574419839255

subject

Has Abstract

pub_date

2019-07-01 00:00:00

pages

415-419

issue

5

eissn

1538-5744

issn

1938-9116

journal_volume

53

pub_type

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