Transfusion-Dependent Anemia in a Simultaneous Pancreas and Kidney Transplant Recipient
A case of transfusion-dependent anemia in a simultaneous pancreas and kidney (SPK) transplant recipient that masqueraded as gastrointestinal bleeding (GIB) is described. The anemia was attributed to bleeding from the donor duodenal cuff based on balloon enteroscopy findings. The patient underwent mu...
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Format: | Article |
Language: | English |
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Wiley
2020-01-01
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Series: | Case Reports in Transplantation |
Online Access: | http://dx.doi.org/10.1155/2020/2841456 |
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author | Jeevan Prakash Gopal David Taube John Martin Simona Deplano Saral Desai Vassilios Papalois Anand Sivaprakash Rathnasamy Muthusamy |
author_facet | Jeevan Prakash Gopal David Taube John Martin Simona Deplano Saral Desai Vassilios Papalois Anand Sivaprakash Rathnasamy Muthusamy |
author_sort | Jeevan Prakash Gopal |
collection | DOAJ |
description | A case of transfusion-dependent anemia in a simultaneous pancreas and kidney (SPK) transplant recipient that masqueraded as gastrointestinal bleeding (GIB) is described. The anemia was attributed to bleeding from the donor duodenal cuff based on balloon enteroscopy findings. The patient underwent multiple contrast-enhanced computed tomography scans and multiple endoscopies with confounding features until, eventually, the diagnosis was established. We discuss the diagnostic difficulties and the therapeutic dilemma, along with the pitfalls in ascertaining the final diagnosis. |
format | Article |
id | doaj-art-cbded17aba7b4d53a50470e73a17af87 |
institution | Kabale University |
issn | 2090-6943 2090-6951 |
language | English |
publishDate | 2020-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Transplantation |
spelling | doaj-art-cbded17aba7b4d53a50470e73a17af872025-02-03T06:43:40ZengWileyCase Reports in Transplantation2090-69432090-69512020-01-01202010.1155/2020/28414562841456Transfusion-Dependent Anemia in a Simultaneous Pancreas and Kidney Transplant RecipientJeevan Prakash Gopal0David Taube1John Martin2Simona Deplano3Saral Desai4Vassilios Papalois5Anand Sivaprakash Rathnasamy Muthusamy6Imperial College Renal and Transplant Centre, Imperial College Healthcare NHS Trust, Hammersmith Hospital, London, UKImperial College Renal and Transplant Centre, Imperial College Healthcare NHS Trust, Hammersmith Hospital, London, UKDepartment of Gastroenterology, Imperial College Healthcare NHS Trust, Charing Cross Hospital, London, UKDepartment of Hematology, Imperial College Healthcare NHS Trust, Hammersmith Hospital, London, UKDepartment of Pathology, Imperial College Healthcare NHS Trust, Hammersmith Hospital, London, UKImperial College Renal and Transplant Centre, Imperial College Healthcare NHS Trust, Hammersmith Hospital, London, UKImperial College Renal and Transplant Centre, Imperial College Healthcare NHS Trust, Hammersmith Hospital, London, UKA case of transfusion-dependent anemia in a simultaneous pancreas and kidney (SPK) transplant recipient that masqueraded as gastrointestinal bleeding (GIB) is described. The anemia was attributed to bleeding from the donor duodenal cuff based on balloon enteroscopy findings. The patient underwent multiple contrast-enhanced computed tomography scans and multiple endoscopies with confounding features until, eventually, the diagnosis was established. We discuss the diagnostic difficulties and the therapeutic dilemma, along with the pitfalls in ascertaining the final diagnosis.http://dx.doi.org/10.1155/2020/2841456 |
spellingShingle | Jeevan Prakash Gopal David Taube John Martin Simona Deplano Saral Desai Vassilios Papalois Anand Sivaprakash Rathnasamy Muthusamy Transfusion-Dependent Anemia in a Simultaneous Pancreas and Kidney Transplant Recipient Case Reports in Transplantation |
title | Transfusion-Dependent Anemia in a Simultaneous Pancreas and Kidney Transplant Recipient |
title_full | Transfusion-Dependent Anemia in a Simultaneous Pancreas and Kidney Transplant Recipient |
title_fullStr | Transfusion-Dependent Anemia in a Simultaneous Pancreas and Kidney Transplant Recipient |
title_full_unstemmed | Transfusion-Dependent Anemia in a Simultaneous Pancreas and Kidney Transplant Recipient |
title_short | Transfusion-Dependent Anemia in a Simultaneous Pancreas and Kidney Transplant Recipient |
title_sort | transfusion dependent anemia in a simultaneous pancreas and kidney transplant recipient |
url | http://dx.doi.org/10.1155/2020/2841456 |
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