Duct-enterostomy as a treatment of pancreatic fistula in a bladder-drained pancreas transplant.
A case of combined pancreaticoduodeno-renal transplant with good graft function was complicated by recurrent episodes of graft pancreatitis treated by vesical catheter drainage. Four months after transplantation, a fistula from the pancreatic body associated with ascitis was identified. Anastomosis between pancreatic fistula and an individualized jejunal loop was performed. The duodenocystostomy was not disconnected. A splint placed inside the wirsung was exteriorized percutaneously through the jejunal loop and removed 30 days after the operation. Both kidney and pancreas grafts are functioning normally 2 years after transplantation.
Zanotelli
M L
ML
Departamento de Transplantes, Santa Casa de Porto Alegre, Brazil.
Guerra
E E
EE
Costa
L F
LF
Vitola
S P
SP
Garcia
V D
VD
Cantisani
G P
GP
D000328:Adult; D003922:Diabetes Mellitus, Type 1 / Q000601:surgery*; D004322:Drainage; D004766:Enterostomy; D005402:Fistula / Q000601:surgery*; D006801:Humans; D016030:Kidney Transplantation; D008297:Male; D016035:Pancreas Transplantation / Q000473:pathology; D010183:Pancreatic Ducts / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery*; D001743:Urinary Bladder / Q000601:surgery*