Failed Pancreatic transplant with right external iliac artery pseudoaneurysm with iliac-enteric fistula

Document Type

Conference Proceeding

Publication Date

11-12-2025

Publication Title

Cardiovasc Intervent Radiol

Keywords

adult, aged, case report, clinical article, complication, conference abstract, diagnosis, emergency ward, end stage renal disease, external iliac artery, false aneurysm, graft failure, heart arrest, hemorrhagic shock, human, iliac artery, iliac bone, insulin dependent diabetes mellitus, intestine fistula, kidney graft, male, medical history, middle aged, stent graft, therapy

Abstract

Vascular complications are a feared complication of all organ transplantation and can range from an acute process, such as thrombosis, leading to early graft failure or a delayed complication, such as an arterial fistula or pseudoaneurysm formation. Pseudoaneurysm incidence in relation to pancreatic transplantation is higher compared to renal or liver. The iliac artery is a common location for pancreatic transplantation leading to a risk of iliac artery-enteric fistula for patients with failed transplants. There are only a few documented cases of formation of an Iliac artery pseudoaneurysm with a arterio-enteric fistula, as described in this case. We report A 41-year-old male with a medical history significant for Type 1 Diabetes Mellitus status post pancreatic transplant in 2021 which failed in 2024, in addition to, end-stage renal disease requiring dialysis status post failed kidney transplant in 2019. He presented to the emergency department for Gl bleed leading to cardiac arrest secondary to hemorrhagic shock. An arterio-enteric fistula was identified on CT and He was underwent angiography, with placement of an VBX covered stent. In patients presenting with concern for Gl bleed or shock with a history of a failed transplantation, the suspicion for a vascular complication should remain high. Although their incidence is very low their likelihood of leading to altering or more likely life-threatening outcomes is high.

Volume

48

Issue

4

First Page

S1623

Find It @ Sladen

Share

COinS