Peritransplant Varicosis After Simultaneous Pancreas and Kidney Transplantation Is an Uncommon Cause of Late-Onset and Recurrent Gastrointestinal Bleeding

Ectopic peritransplant varicosis represents an uncommon cause of late-onset gastrointestinal (GI) bleeding after simultaneous pancreas and kidney transplantation (SPK). We report on a 53-year-old female patient who suffered from recurrent upper GI seven years SPK with persistent graft function. Upper endoscopy revealed perianastomotic angiodysplasias, treated by clipping Argon-Plasma-Coagulation. Repeated showed no signs anastomotic ulcer. With symptoms, computed tomography angiography extensive ectopic around the duodenal graft. portal hypertension, venous outflow impairment or arterio-venous fistula, origin variceal formation remained unknown. The extended finding did not allow for endovascular treatment embolization. Surgery ligation led to cessation hemorrhage maintained stable In patients unclear SPK, one should consider as exceptional cause. If endoscopic treatments fail, be performed rule out unusual causes vascular complications. case varicosis, surgery may remain only successful therapy, whenever possible including preservation in well-functioning grafts.