Spontaneous arterioenteric fistula after pancreas transplantation.
Chronic pancreas transplant rejection with enteric exocrine drainage can lead to significant long-term complications. We report a case of a 47-year-old male insulin-dependent diabetic who survived the complications of peripancreatic abscess, enterocutaneous fistula, and arterioenteric fistula related to pancreas transplantation. To avoid these long-term complications, we now recommend elective removal of nonfunctioning, enterically drained pancreas allografts.
Gritsch
H A
HA
Department of Surgery, University of Pittsburgh Medical Center, Pennsylvania 15213, USA.
Shapiro
R
R
Egidi
F
F
Randhawa
P S
PS
Starzl
T E
TE
Corry
R J
RJ
D000714:Anastomosis, Surgical; D003922:Diabetes Mellitus, Type 1 / Q000601:surgery*; D003928:Diabetic Nephropathies / Q000601:surgery; D004378:Duodenal Diseases / Q000473:pathology*; D005355:Fibrosis; D005402:Fistula / Q000473:pathology; D006084:Graft Rejection / Q000473:pathology; D006801:Humans; D007083:Iliac Artery / Q000473:pathology* / Q000601:surgery; D007165:Immunosuppression Therapy / Q000379:methods; D007579:Jejunal Diseases / Q000473:pathology*; D007676:Kidney Failure, Chronic / Q000601:surgery; D016030:Kidney Transplantation; D008297:Male; D008875:Middle Aged; D016035:Pancreas Transplantation / Q000473:pathology; D011169:Portal Vein / Q000601:surgery; D011183:Postoperative Complications; D012086:Reoperation; D013156:Splenectomy