Salvage of Graft Pancreas in a Simultaneous Pancreas-kidney Transplant Recipient With Splenic Artery Thrombosis, Infected Walled-off Necrosis, and Stenting of Y Arterial Graft Stenosis

Choudhary, Devprakash; Vijayvergiya, Rajesh; Sharma, Ashish; Lal, Anupam; Rajan, Palanivel; Kasinadhuni, Ganesh; Singh, Sarbpreet; Kenwar, Deepesh Benjamin

doi:10.1097/txd.0000000000001363

Cited by 1 publication

(1 citation statement)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Vascular stenosis is relatively uncommon with an incidence of about 2.5% and more commonly occur at the anastomotic level[ 40 ]. Early detection of vascular stenosis is critical to avoid complications, including thrombosis, ischemia, and graft dysfunction[ 46 ]. The multiplanar reconstruction of the vascular tree provides a reliable method of visualizing the entire vascular anastomoses, detecting a focal decrease in caliber of the vessel (Figure 10 ).…”

Section: Complications After Pancreatic Transplantationmentioning

confidence: 99%

Surgical complications after pancreatic transplantation: A computed tomography imaging pictorial review

D'Alessandro,

Todisco,

Bella

et al. 2023

World J Gastroenterol

View full text Add to dashboard Cite

Pancreatic transplantation is considered by the American Diabetes Association and the European Association for the Study of Diabetes an acceptable surgical procedure in patients with type 1 diabetes also undergoing kidney transplantation in pre-final or end-stage renal disease if no contraindications are present. Pancreatic transplantation, however, is a complex surgical procedure and may lead to a range of postoperative complications that can significantly impact graft function and patient outcomes. Postoperative computed tomography (CT) is often adopted to evaluate perfusion of the transplanted pancreas, identify complications and as a guide for interventional radiology procedures. CT assessment after pancreatic transplantation should start with the evaluation of the arterial Y-graft, the venous anastomosis and the duodenojejunostomy. With regard to complications, CT allows for the identification of vascular complications, such as thrombosis or stenosis of blood vessels supplying the graft, the detection of pancreatic fluid collections, including pseudocysts, abscesses, or leaks, the assessment of bowel complications (anastomotic leaks, ileus or obstruction), and the identification of bleeding. The aim of this pictorial review is to illustrate CT findings of surgical-related complications after pancreatic transplantation. The knowledge of surgical techniques is of key importance to understand postoperative anatomic changes and imaging evaluation. Therefore, we first provide a short summary of the main techniques of pancreatic transplantation. Then, we provide a practical imaging approach to pancreatic transplantation and its complications providing tips and tricks for the prompt imaging diagnosis on CT.

show abstract

Section: Complications After Pancreatic Transplantationmentioning

confidence: 99%