Percutaneous embolization of periduodenal varix due to portal hypertension in a patient with kidneypancreas transplantation: A case report

I. Fontana, M. Bertocchi, S. Di Domenico, E. Andorno, G. Santori, A. Magoni Rossi, G. Gasloli, C. Ferro, U. G. Rossi, G. Bovio, U. Valente

Research output: Contribution to journalArticlepeer-review

Abstract

Kidneypancreas transplantation is a valid therapeutic option for patients with insulin-dependent diabetes mellitus. However, vascular complications associated with pancreas transplantation are not uncommon. Herein we have reported a 32-year-old woman with a history of insulin-dependent diabetes mellitus and celiac disease. She underwent liver transplantation for acute hepatitis. After 7 years, the patient developed end-stage kidney disease beginning hemodialysis and being listed for a kidneypancreas transplantation, which was successfully performed when she was 29 years old with enteric diversion (Roux intestinal loop reconstruction). Five years after kidneypancreas transplantation, she was admitted to our hospital with serious intestinal bleeding and poor liver function. The ultrasound showed a pattern like a arteriovenous fistula near the head of the pancreas. Computed Tomography was not diagnostic; an arteriogram showed the presence of a mesenteric varix and a mesenteric-caval shunt through the duodenum of the pancreatic graft. The liver biopsy and portal pressure gradient showed portal hypertension and liver cirrhosis. To obtain time a waiting a new liver, the patient underwent percutaneous embolization of the mesenteric varix through jugular access. The procedure was uneventful. The patient was successfully transplanted 2 months later. Pancreas function was always satisfactory.

Original languageEnglish
Pages (from-to)2162-2163
Number of pages2
JournalTransplantation Proceedings
Volume42
Issue number6
DOIs
Publication statusPublished - Jul 2010

ASJC Scopus subject areas

  • Surgery
  • Transplantation

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