[Case of pancreatic leak after laparoscopic splenectomy for ABO-incompatible kidney transplantation recipient].
A 21-year-old man with bilateral hypoplastic kidneys underwent laparoscopic splenectomy and ABO-incompatible living renal transplantation. After the splenectomy, pancreatic leak occurred and it caused intra-abdominal bleeding on the 10th and 16th postoperative day, so emergency operations were performed. Then the graft function had become stable and he was discharged on the 75th postoperative day. Although intra-abdominal bleeding due to pancreatic leak often causes a fatal condition, he was successfully treated by suppression of pancreatic external secretion using octreotide and appropriate drainage.
Saito
Jun
J
Department of Urology, Osaka General Medical Center.
Madono
Keigo
K
Kato
Taigo
T
Yazawa
Koji
K
Hosomi
Masahiro
M
Ito
Kiichiro
K
D000017:ABO Blood-Group System; D000328:Adult; D001787:Blood Group Incompatibility; D004322:Drainage; D006801:Humans; D016030:Kidney Transplantation; D010535:Laparoscopy / Q000009:adverse effects*; D008297:Male; D015282:Octreotide / Q000627:therapeutic use; D010179:Pancreas / Q000293:injuries*; D010189:Pancreatic Juice / Q000378:metabolism; D011183:Postoperative Complications; D013156:Splenectomy / Q000009:adverse effects*; D013529:Surgical Wound Dehiscence / Q000209:etiology* / Q000628:therapy
D000017:ABO Blood-Group System; D015282:Octreotide