GI Hemorrhage From an Arterio-Enteric Fistula From a Failed Pancreas Allograft. Issue 7 (11th July 2022)

• Record Type: Journal Article
• Authors: David, Robin; Trieu, Judy A.; Shokoohi, Susanne
• Is Part Of: ACG Case Reports Journal. Volume 9:Issue 7(2022)
• Page Start: e00822
• Publication Date: 2022-07-11
• DOI: 10.14309/crj.0000000000000822
• Languages: English
• ISSNs: 2326-3253

Abstract

ABSTRACT: Arterio-enteric fistulas involving pancreas allograft are rare complications of transplantation that manifest as gastrointestinal bleeding. We discuss the case of a 34-year-old patient with failed pancreas transplant who presented with recurrent sentinel bleeding before catastrophic hemorrhage. Multiple endoscopies did not identify the source of bleeding, and subsequent angiography demonstrated a fistulous connection between the transplanted pancreatic artery and the small bowel. A stent graft was placed with immediate stabilization. We provide a review of the literature and discuss the clinical manifestations, diagnosis, and management of arterio-enteric fistulas to highlight the importance of early recognition and intervention in preventing life-threatening bleeding.