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Arterioenteric fistula in a patient with pancreato-renal transplant
Fístula arterio-entérica en paciente con trasplante pancreato-renal
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CT angiography described an arterioenteric fistula (from arterial anastomosis to intestinal anastomosis of the pancreatic graft) with active bleeding. Since the arteriography did not show extravasation and the patient was still unstable, urgent surgery was decided on: resection of the pancreatic graft and middle ileum (fistula area) with ileo-ileal intestinal anastomosis, segmental resection of the left external iliac artery and ilio-iliac end-to-end bypass (Figs. <a class="elsevierStyleCrossRef" href="#fig0005">1</a> and <a class="elsevierStyleCrossRef" href="#fig0010">2</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">Diagnosis: arterioenteric fistula from arterial anastomosis to intestinal anastomosis of pancreatic graft.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Funding</span><p id="par0015" class="elsevierStylePara elsevierViewall">This study has not received any funding.</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Ethics</span><p id="par0020" class="elsevierStylePara elsevierViewall">The authors declare that they hold the patient's informed consent document.</p><p id="par0025" class="elsevierStylePara elsevierViewall">The authors also declare that the study described has not been previously published (a poster of the clinical case is pending publication at the 24th National Surgery Meeting in Alicante from October 24th to 27th, 2023), that its publication is authorised by all authors and expressly or tacitly by the competent authorities of the institution in which the study was carried out, and that, if accepted, it will not be published in any other medium in the same format, in English or any other language, including in electronic form, without the written consent of the copyright holder.</p></span><span id="sec0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Conflict of interest</span><p id="par0030" class="elsevierStylePara elsevierViewall">The authors declare no conflicto of interest.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:3 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Funding" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Ethics" ] 2 => array:2 [ "identificador" => "sec0015" "titulo" => "Conflict of interest" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "multimedia" => array:2 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 942 "Ancho" => 1967 "Tamanyo" => 129282 ] ] ] 1 => array:6 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 1339 "Ancho" => 2475 "Tamanyo" => 344542 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/21735077/0000010200000006/v1_202406180525/S2173507724000048/v1_202406180525/en/main.assets" "Apartado" => array:4 [ "identificador" => "15075" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Image of the month" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/21735077/0000010200000006/v1_202406180525/S2173507724000048/v1_202406180525/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2173507724000048?idApp=UINPBA00004N" ]
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