Bezoar-related pancreatitis in enterically drained pancreas transplant.
Simultaneous kidney and pancreas transplantation is currently the treatment of choice for type 1 diabetes mellitus with end-stage renal disease. As a result of improvements in surgical techniques and the efficacy of immunosuppression, patient and graft survival rates have improved dramatically over the last two decades. Despite this, it remains a challenging surgical procedure with many potential complications and occasional controversies. Causes of pancreatitis after pancreas transplantation with enteric drainage are not well documented in the literature. We report a case of allograft pancreatitis from pancreatic duct outflow obstruction due to formation of a bezoar in a diverticulized transplant duodeno-jejunal anastomosis. To the best of our knowledge, this is the first case of allograft pancreatitis reported in the literature occurring from bezoar formation.
Haider
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Lillian Jean Kaplan Renal Transplant Center of the Division of Transplantation of the Department of Surgery, at the University of Miami, Leonard M Miller School of Medicine, Miami, FL 33136, USA. hhaider@med.miami.edu
Illanes
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H
Ciancio
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Miller
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J
Burke
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D000328:Adult; D001630:Bezoars / Q000000981:diagnostic imaging; D001766:Blindness; D003922:Diabetes Mellitus, Type 1 / Q000601:surgery*; D003930:Diabetic Retinopathy; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000209:etiology; D016030:Kidney Transplantation; D016035:Pancreas Transplantation / Q000009:adverse effects*; D010195:Pancreatitis / Q000209:etiology*; D014057:Tomography, X-Ray Computed