Late bleeding episodes following intestinal transplantation: it is not always rejection or infection.
Singh, Harveen Selvarajan, Lakshmi Ong, Sik-Yong Ali, Sajeed Sharif, Khalid Mirza, Darius Gupte, Girish
Singh, Harveen
Selvarajan, Lakshmi
Ong, Sik-Yong
Ali, Sajeed
Sharif, Khalid
Mirza, Darius
Gupte, Girish
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2022-02-25
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Abstract
Ectopic varices have been reported in 5% of children presenting with variceal bleeding and are defined as portosystemic venous collaterals occurring anywhere in the abdomen except in the cardioesophageal region. The liver-intestinal transplant or isolated liver-intestinal transplant patient presenting several years post-transplant with ectopic variceal bleeding as a consequence of portal hypertension is a seldom reported complication. Etiologies such as rejection or infection are a more common source of bleeding, and only after excluding these can differentials such as portal hypertension secondary to a blocked portacaval shunt or native liver disease be considered.
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Singh H, Selvarajan L, Ong SY, Ali S, Sharif K, Mirza D, Gupte G. Late Bleeding Episodes Following Intestinal Transplantation: It Is Not Always Rejection or Infection. JPGN Rep. 2022 Feb 25;3(2):e174. doi: 10.1097/PG9.0000000000000174
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