NYMC Faculty Publications

Aortic Pseudoaneurysm After Pancreatic Transplant: Case Report and Review of the Literature

Author Type(s)

Student, Faculty

DOI

10.1016/j.avsurg.2024.100288

Journal Title

Annals of Vascular Surgery Brief Reports and Innovations

Document Type

Article

Publication Date

6-1-2024

Department

Pathology, Microbiology and Immunology

Second Department

Surgery

Keywords

CTA, Pancreas transplant, Pseudoaneurysm, Sentinel bleeding

Disciplines

Medicine and Health Sciences

Abstract

Pseudoaneurysm (PSA) is a rare complication of pancreatic transplantation and can present with gastrointestinal (GI) bleeding. We present a case of a 61-year-old male, who had a history of a pancreas transplant for type I diabetes mellitus 12 years ago, who presented with GI bleeding. He had a CT scan that showed a small PSA in the distal aorta near the arterial anastomosis of his previous pancreas transplant. He underwent an angiogram showing a distal aortic PSA with a wide sac. The patient was initially treated with observation and had recurrent bleeding. The patient had a repeat CT scan showing an increase in the size of the aortic pseudoaneurysm with contrast into the GI tract. He underwent an emergent endovascular stent placement with good recovery. Pancreatic transplantations have a low incidence of PSA; however, patients can present with sentinel gastrointestinal bleeding followed by more massive bleeding. These patients should undergo a CT scan with contrast and angiogram for accurate diagnosis and treatment.

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