Department of Neurosurgery, Massachusetts General Hospital, Boston, Massachusetts, USA.
Division of Transplant Surgery, Department of Surgery, University of Virginia Health System, Charlottesville, Virginia, USA.
Clin Transplant. 2024 Jan;38(1):e15159. doi: 10.1111/ctr.15159. Epub 2023 Oct 4.
Ectopic variceal bleeding is a potentially under recognized source of gastrointestinal (GI) hemorrhage. While vascular complications following pancreatic transplant are relatively common, the development of symptomatic ectopic venous varices has rarely been reported. We report two patients with a remote history of simultaneous kidney pancreas transplant (SPK) presenting two decades after transplant with an occult GI bleed. In both cases, a lengthy diagnostic course was required. The varices were treated with coil embolization via transhepatic approach. Our findings add to the limited literature on this topic and aid in the recognition, diagnosis, and management of this unusual presentation.
异位静脉曲张出血是一种潜在未被识别的胃肠道 (GI) 出血源。虽然胰腺移植后血管并发症较为常见，但症状性异位静脉静脉曲张的发展很少被报道。我们报告了两例具有同时肾胰腺移植 (SPK) 病史的患者，在移植后二十年出现隐匿性胃肠道出血。在这两种情况下，都需要进行漫长的诊断过程。通过经肝途径进行线圈栓塞治疗了静脉曲张。我们的发现增加了关于该主题的有限文献，并有助于识别、诊断和处理这种不常见的表现。
