[Cysto-ileal diversion by Y loop of a compressive pseudocyst after segmental pancreatic transplantation].
We report the case of a young female patient who underwent dual segmentary pancreatic and renal transplantation in May 1990. The immediate post-operative course was marked by the peri pancreatic collections normally noted with this technique. However, a peculiarity was a long-lasting pseudocyst of the grafted tissue which could not be drained externally despite several attempts. This was compressing the splenic vein of the tissue, thereby causing a reflux. Fear of losing tissue functionality led us four and a half years later to perform an internal cysto-ileal derivation on a bowel loop. In this way, normal endocrine function of the pancreatic graft tissue has now been maintained for over a year.
Masson
B
B
Service de Chirurgie Viscérale et Endocrinienne, Hôpital du Haut Lévêque, Pessac.
Hostyn
B
B
Desfourneaux
V
V
Potaux
L
L
D000328:Adult; D000713:Anastomosis, Roux-en-Y / Q000379:methods*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D016035:Pancreas Transplantation / Q000009:adverse effects*; D010192:Pancreatic Pseudocyst / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D011183:Postoperative Complications
Dérivation kysto-iléale par anse en Y d'un pseudokyste compressif après transplantation pancréatique segmentaire.