Successful embolization of a cytomegalovirus-related duodenal ulcer in a kidney-pancreas transplant recipient

Prog Transplant. 2013 Sep;23(3):217-9. doi: 10.7182/pit2013574.

Abstract

One of the complications that can occur in pancreas transplant is a massive intestinal hemorrhage, although such a hemorrhage is very rarely caused by ulcers due to cytomegalovirus infection. Treatment is fundamentally based on relaparatomy, although in some cases interventional radiology can be an efficient alternative because it allows the exact bleeding point to be located and therapeutic embolization to be performed. In this case, a man with diabetes type 1 who was given a simultaneous kidney-pancreas transplant had an ulcer due to cytomegalovirus infection develop in the duodenal graft (in the early postoperative period), causing a severe hemorrhage in the lower part of the gastrointestinal tract that was controlled via selective embolization of a branch of the pancreaticoduodenal artery.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Angiography
  • Cytomegalovirus Infections / therapy*
  • Diabetes Mellitus, Type 1 / surgery*
  • Duodenal Ulcer / therapy*
  • Duodenal Ulcer / virology*
  • Embolization, Therapeutic / methods*
  • Gastrointestinal Hemorrhage / therapy*
  • Gastrointestinal Hemorrhage / virology*
  • Humans
  • Kidney Transplantation*
  • Male
  • Pancreas Transplantation*