Duodenal Perforation With Transplant Hepatic Artery Pseudoaneurysm.
Publication/Presentation Date
6-1-2019
Abstract
A transplant hepatic artery pseudoaneurysm is a rare postorthotopic liver transplant complication. Bleeding is a common complication of posterior duodenal ulcer secondary to erosion into the gastroduodenal artery. We report the case of a post-transplant patient who presented with massive upper gastrointestinal hemorrhage in the setting of nonsteroidal anti-inflammatory drug use. Endoscopy demonstrated a duodenal ulcer with high-risk stigmata not amenable to hemostasis. Subsequently, an arteriogram revealed a hepatic artery pseudoaneurysm. Transplant professionals should be aware of the possibility of an ulcer eroding into the liver vasculature and in the differential diagnosis for bleeding and pseudoaneurysms in post-transplant patients.
Volume
6
Issue
6
First Page
00117
Last Page
00117
ISSN
2326-3253
Published In/Presented At
Votta, K., Dhanekula, R. K., Frank, A. M., Sass, D. A., & Shah, A. P. (2019). Duodenal Perforation With Transplant Hepatic Artery Pseudoaneurysm. ACG case reports journal, 6(6), e00117. https://doi.org/10.14309/crj.0000000000000117
Disciplines
Medicine and Health Sciences
PubMedID
31616777
Department(s)
Department of Surgery
Document Type
Article