McBeth Brian D, Stern Susan A
University of Michigan/St. Joseph Mercy Hospital Residency in Emergency Medicine, 1500 East Medical Center Drive, Ann Arbor, MI 48109-0303, USA.
Ann Emerg Med. 2003 Oct;42(4):587-91. doi: 10.1067/s0196-0644(03)00388-3.
We report a case of a severe lower gastrointestinal hemorrhage caused by arterioenteric fistula formation in a pancreas transplant patient. A rare but potentially deadly complication of pancreas transplant surgery, arterioenteric fistulas should be considered in every transplant patient presenting with voluminous gastrointestinal bleeding. If diagnosed promptly, angiographic and surgical intervention can prevent serious morbidity and mortality.
我们报告一例胰腺移植患者因动脉肠瘘形成导致严重下消化道出血的病例。动脉肠瘘是胰腺移植手术中一种罕见但可能致命的并发症,对于每一位出现大量胃肠道出血的移植患者都应考虑到这一情况。如果能及时诊断,血管造影和手术干预可预防严重的发病和死亡。