Successful embolization of the peripheral branches of the superior mesenteric artery performed because of tuberculosis-associated acute bleeding in a patient after a renal transplant

Exp Clin Transplant. 2013 Oct;11(5):447-9. doi: 10.6002/ect.2012.0219. Epub 2013 Feb 22.

Abstract

We report a renal transplant recipient infected with Mycobacterium tuberculosis who presented with severe intestinal bleeding. The bleeding was the result of an injured vessel of mesenteric artery distal branches diagnosed by traditional arteriography and computed tomography angiography. As the patient's condition was serious, the only considered rescue therapy was endovascular treatment. The endovascular procedure was successful because the bleeding stopped. Embolization of a small intestinal artery may be a successful rescue treatment of intestinal bleeding in a patient after renal transplant.

Publication types

  • Case Reports

MeSH terms

  • Antitubercular Agents / therapeutic use
  • Embolization, Therapeutic*
  • Female
  • Gastrointestinal Hemorrhage / diagnosis
  • Gastrointestinal Hemorrhage / etiology
  • Gastrointestinal Hemorrhage / therapy*
  • Humans
  • Kidney Transplantation / adverse effects*
  • Mesenteric Artery, Superior / diagnostic imaging
  • Mesenteric Artery, Superior / injuries*
  • Middle Aged
  • Mycobacterium tuberculosis / isolation & purification
  • Peritonitis, Tuberculous / complications*
  • Peritonitis, Tuberculous / diagnosis
  • Peritonitis, Tuberculous / drug therapy
  • Peritonitis, Tuberculous / microbiology
  • Tomography, X-Ray Computed
  • Treatment Outcome
  • Tuberculoma / complications*
  • Tuberculoma / diagnosis
  • Tuberculoma / drug therapy
  • Tuberculoma / microbiology
  • Vascular System Injuries / diagnosis
  • Vascular System Injuries / etiology
  • Vascular System Injuries / therapy*

Substances

  • Antitubercular Agents