Tc-99m-labeled red blood cell scanning localizes anastomotic hemorrhage between the distal ileum and duodenal stump of an enteric-drained pancreas transplant

Juliana Bingener-Casey, Robert M. Esterl, W. Kenneth Washburn, Francisco G. Cigarroa, Greg A. Abrahamian, Glenn A. Halff

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Increasing numbers of pancreas transplants are performed with enteric exocrine drainage. Complications are more difficult to diagnose in enteric-drained pancreas transplants than in bladder-drained pancreas transplants. A 41-year-old woman underwent a simultaneous kidney-pancreas transplant. She received a whole-organ pancreas transplant with exocrine drainage from the duodenal stump into the distal ileum. One week after operation, accelerated renal rejection developed and was treated with plasmapheresis. In a coagulopathic state from plasma-pheresis, marked hematochezia developed 2 weeks after operation. The Tc-99m-labeled red blood cell scan clearly identified anastomotic hemorrhage between the duodenal stump of the pancreas transplant and the ileum.

Original languageEnglish (US)
Pages (from-to)205-206
Number of pages2
JournalClinical Nuclear Medicine
Volume27
Issue number3
DOIs
StatePublished - 2002

Fingerprint

Ileum
Pancreas
Erythrocytes
Hemorrhage
Transplants
Drainage
Kidney
Blood Component Removal
Gastrointestinal Hemorrhage
Plasmapheresis
Urinary Bladder

Keywords

  • Pancreas Transplant
  • Tc-99m-Labeled Red Blood Cells

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

Cite this

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abstract = "Increasing numbers of pancreas transplants are performed with enteric exocrine drainage. Complications are more difficult to diagnose in enteric-drained pancreas transplants than in bladder-drained pancreas transplants. A 41-year-old woman underwent a simultaneous kidney-pancreas transplant. She received a whole-organ pancreas transplant with exocrine drainage from the duodenal stump into the distal ileum. One week after operation, accelerated renal rejection developed and was treated with plasmapheresis. In a coagulopathic state from plasma-pheresis, marked hematochezia developed 2 weeks after operation. The Tc-99m-labeled red blood cell scan clearly identified anastomotic hemorrhage between the duodenal stump of the pancreas transplant and the ileum.",
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T1 - Tc-99m-labeled red blood cell scanning localizes anastomotic hemorrhage between the distal ileum and duodenal stump of an enteric-drained pancreas transplant

AU - Bingener-Casey, Juliana

AU - Esterl, Robert M.

AU - Kenneth Washburn, W.

AU - Cigarroa, Francisco G.

AU - Abrahamian, Greg A.

AU - Halff, Glenn A.

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AB - Increasing numbers of pancreas transplants are performed with enteric exocrine drainage. Complications are more difficult to diagnose in enteric-drained pancreas transplants than in bladder-drained pancreas transplants. A 41-year-old woman underwent a simultaneous kidney-pancreas transplant. She received a whole-organ pancreas transplant with exocrine drainage from the duodenal stump into the distal ileum. One week after operation, accelerated renal rejection developed and was treated with plasmapheresis. In a coagulopathic state from plasma-pheresis, marked hematochezia developed 2 weeks after operation. The Tc-99m-labeled red blood cell scan clearly identified anastomotic hemorrhage between the duodenal stump of the pancreas transplant and the ileum.

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