Pancreatic allograft thrombosis

Case contributed by Maradona Marcos Gabriel , 28 Oct 2018
Diagnosis certain
Changed by Henry Knipe, 9 Dec 2018

Updates to Case Attributes

Status changed from pending review to published (public).
Published At was set to .
Presentation was changed:
A 3940-year-old man withtype I diabetes. BeginsPresents with abdominal pain and hyperglycemia 8 days after simultaneous transplantation of kidney and pancreas.
Age changed from 39 years old to 40 years.
Body was changed:

The simultaneousSimultaneous transplantation of kidney and pancreas is thea surgical option most used in patientpatients with diabetic nephropathy.

Complication Complications can be classified into medical/surgical. 

Venous thrombosis is the most serious surgical complication and itsit is a cause of pancreatic lossesloss.

It is the second most important complication in importance after rejection.

Has and has a frequency of between 2-19%.

Appears almost always after and typically presents a few weeks post-transplantafter transplant.

  • -<p>The simultaneous transplantation of kidney and pancreas is the surgical option most used in patient with diabetic nephropathy.</p><p>Complication can be classified into medical/surgical. </p><p>Venous thrombosis is the most serious surgical complication and its a cause of pancreatic losses.</p><p>It is the second complication in importance after rejection.</p><p>Has a frequency between 2-19%.</p><p>Appears almost always after a few weeks post-transplant.</p>
  • +<p>Simultaneous transplantation of kidney and pancreas is a surgical option most used in patients with diabetic nephropathy. Complications can be classified into medical/surgical. </p><p>Venous thrombosis is the most serious surgical complication and it is a cause of pancreatic loss. It is the second most important complication after rejection. and has a frequency of between 2-19% and typically presents a few weeks after transplant. </p>

Tags changed:

  • pancreas transplant
  • pancreatic transplant

Updates to Study Attributes

Modality was set to Diagram.
Findings was changed:

IMAGEN A ( IlustrationIllustration of the pancreas transplantation technique) : VCI: Inferior Vena Cava. VICD:  Right Common Iliac Vein. AO:Aorta. VP:  Portal Vein. VMS:  Superior Mesenteric Vein.  VE: Splenic Vein.  AICD:  Right Common Iliac Artery. IY: graft in ¨y¨ AMS: Superior Mesenteric Artery. AE: Splenic Artery.

Autore: G. Maradona

Images Changes:

Image 1 Diagram ( create )

Updates to Study Attributes

Findings was changed:

IMAGEN BIMAGE A: 

  •    -USUS-image demostrating  VPdemonstrating VP and VE expanded, filled with echoes.
  •    -Pancreas Pancreas is heterogeneous, hypoechoic. Peripancreatic fluid collection.

IMAGEN CIMAGE B:

  •    -US-Duplex image within the pancreas parenchyma shows reversed end-diastolic flow in an intrapancreatic artery.

       -Venous
  • Venous waveforms could not be identified.
Images Changes:

Image Ultrasound (Image A: Longitudinal) ( update )

Perspective changed from Imagen B: US-Longitudinal to Image A: Longitudinal.

Image Ultrasound (Image B: US-Doppler) ( update )

Perspective changed from Imagen C: US-Doppler to Image B: US-Doppler.

Updates to Study Attributes

Findings was changed:

IMAGEN D-E:  CT contrast-enhanced.

   -CentralCentral occlusive thrombosis of the PV.

   -Normal Normal pancreatic transplant enhancement. Post-contrast axial CT.

   -Peripancreatic Peripancreatic fluid collection.

Images Changes:

Image CT (C+ portal venous phase) ( update )

Perspective changed from Imagen D: CT-Axial to Axial.

Image CT (C+ portal venous phase) ( update )

Perspective changed from Imagen E: CT-Coronal to Coronal.

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