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Erschienen in: Digestive Diseases and Sciences 12/2014

01.12.2014 | Stanford Multidisciplinary Seminars

Gastrointestinal Mucormycosis Initially Manifest as Hematochezia from Arterio-Enteric Fistula

verfasst von: Jordan M. Cloyd, Janice Brown, Tiffany Sinclair, David Jenks, Jay Desai, Teri Longacre, Venita Chandra, Andy Shelton

Erschienen in: Digestive Diseases and Sciences | Ausgabe 12/2014

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Excerpt

A 41-year-old man was evaluated in the emergency department for acute hematochezia accompanied by hemorrhagic shock. Ten months prior to presentation, he had received a hematopoietic stem cell transplant from an HLA-matched, related donor for Philadelphia chromosome-positive B cell acute lymphoblastic leukemia (ALL). He also had a history of Stage III rectal cancer treated with neo-adjuvant chemoradiation (cetuximab/capecitibine), low anterior resection, and adjuvant chemotherapy (capecitabine/oxaliplatin) 5 years prior to transplantation. On presentation, there was no evidence of either malignancy. After stabilization with massive transfusion of blood products, computed tomography (CT) angiography of the abdomen and pelvis demonstrated an arterio-enteric fistula between the left common iliac artery and the sigmoid colon (Fig. 1). Interventional radiology (IR) emergently performed angiography followed by successful deployment of a left common iliac artery stent (Fig. 2).
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Metadaten
Titel
Gastrointestinal Mucormycosis Initially Manifest as Hematochezia from Arterio-Enteric Fistula
verfasst von
Jordan M. Cloyd
Janice Brown
Tiffany Sinclair
David Jenks
Jay Desai
Teri Longacre
Venita Chandra
Andy Shelton
Publikationsdatum
01.12.2014
Verlag
Springer US
Erschienen in
Digestive Diseases and Sciences / Ausgabe 12/2014
Print ISSN: 0163-2116
Elektronische ISSN: 1573-2568
DOI
https://doi.org/10.1007/s10620-014-3239-7

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