Successful surgical salvage of partial pancreatic allograft thrombosis
| Autor: | Robert M. Merion, S. M. Rudich, Juan D. Arenas, Martin A. Maraschio, J. D. Punch, John C. Magee, Darrell A. Campbell, Liise K. Kayler |
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| Rok vydání: | 2003 |
| Předmět: |
Adult
Male medicine.medical_specialty Iliac fossa Pancreatectomy medicine Cadaver Humans Transplantation Homologous Diabetic Nephropathies Pancreas Salvage Therapy Transplantation Vascular disease business.industry Gallbladder Thrombosis medicine.disease Tissue Donors Surgery Liver Transplantation Partial Pancreatectomy Venous thrombosis medicine.anatomical_structure Diabetes Mellitus Type 1 Treatment Outcome Allograft Thrombosis Pancreas Transplantation business |
| Zdroj: | Transplantation proceedings. 35(4) |
| ISSN: | 0041-1345 |
| Popis: | Background Venous thrombosis remains an important cause of pancreatic graft loss. Nevertheless, reports are scarce of treatment alternatives to complete graft removal. We describe a case of surgical salvage of a partial pancreatic graft thrombosis. Methods We used descriptive retrospective analysis. Results A 36-year-old patient with juvenile-onset diabetes mellitus and previous living related renal transplant received a cadaveric pancreas transplant in the right iliac fossa with enteric exocrine drainage and standard vascular anastomosis. Two days after discharge from the hospital, he presented with severe right upper quadrant pain, nausea, vomiting, fever, and leukocytosis. He was taken to the operating room for exploration. The tail of the pancreas, which was kinked under the gallbladder, was necrotic and excised. The remainder of the pancreas looked normal. The patient recovered well from surgery and was discharged home 7 days later. Conclusions Partial pancreatectomy is an acceptable surgical alternative for incomplete graft thrombosis. |
| Databáze: | OpenAIRE |
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