Int J Angiol 2014; 23(01): 065-068
DOI: 10.1055/s-0033-1349169
Case Report
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Arterio-Enteric Fistula in Failed Enteric-Drained Pancreas Transplants: An Impending Danger

Manuel Villa
1   Department of Transplantation, North Shore Long Island Jewish Health System-Hofstra University School of Medicine, Manhasset, New York
,
Eric Siskind
1   Department of Transplantation, North Shore Long Island Jewish Health System-Hofstra University School of Medicine, Manhasset, New York
,
Natalia Jaimes
1   Department of Transplantation, North Shore Long Island Jewish Health System-Hofstra University School of Medicine, Manhasset, New York
,
Donna Eckstein
1   Department of Transplantation, North Shore Long Island Jewish Health System-Hofstra University School of Medicine, Manhasset, New York
,
Madhu Bhaskaran
1   Department of Transplantation, North Shore Long Island Jewish Health System-Hofstra University School of Medicine, Manhasset, New York
,
Mala Sachdeva
1   Department of Transplantation, North Shore Long Island Jewish Health System-Hofstra University School of Medicine, Manhasset, New York
,
Kenar Jhaveri
1   Department of Transplantation, North Shore Long Island Jewish Health System-Hofstra University School of Medicine, Manhasset, New York
,
Kellie Calderon
1   Department of Transplantation, North Shore Long Island Jewish Health System-Hofstra University School of Medicine, Manhasset, New York
,
Craig Greben
1   Department of Transplantation, North Shore Long Island Jewish Health System-Hofstra University School of Medicine, Manhasset, New York
,
Lauren Sharan
1   Department of Transplantation, North Shore Long Island Jewish Health System-Hofstra University School of Medicine, Manhasset, New York
,
Gene Coppa
1   Department of Transplantation, North Shore Long Island Jewish Health System-Hofstra University School of Medicine, Manhasset, New York
,
Kambhampaty Krishnasastry
1   Department of Transplantation, North Shore Long Island Jewish Health System-Hofstra University School of Medicine, Manhasset, New York
,
Ernesto Molmenti
1   Department of Transplantation, North Shore Long Island Jewish Health System-Hofstra University School of Medicine, Manhasset, New York
,
Jeffrey Nicastro
1   Department of Transplantation, North Shore Long Island Jewish Health System-Hofstra University School of Medicine, Manhasset, New York
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Publikationsdatum:
14. November 2013 (online)

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Abstract

Enteric drainage is the preferred method of exocrine diversion in simultaneous kidney–pancreas transplantation. Because of improvements in immunosuppression, enteric drainage has become the preferred method of pancreas transplantation in general. Although associated with less potential complications than bladder-drained pancreas, potentially lethal arterio-enteric fistulas in the setting of nonfunctioning allografts represent a constant threat. We herein present a case report, a review of the literature, and a call for caution.