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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Main Authors: Jeevan Prakash Gopal, David Taube, John Martin, Simona Deplano, Saral Desai, Vassilios Papalois, Anand Sivaprakash Rathnasamy Muthusamy
Format: Article
Language:English
Published: Wiley 2020-01-01
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.
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institution Kabale University
issn 2090-6943
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language English
publishDate 2020-01-01
publisher Wiley
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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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