Graft Duodenal Perforation due to XXXX after Simultaneous Pancreas-Kidney Transplantation: Report of a Case.

@entity1 @entity788 @entity6 @entity2316 @entity490 @entity547 @entity715 @entity1320
Although complications including graft @entity715 , graft @entity788 , and rejection have been well documented after pancreas transplantation, the occurrence of graft duodenal perforation is uncommon. In this article, we report a case of graft duodenal perforation due to @entity547 after simultaneous pancreas-kidney transplantation (SPK). A @entity1 with @entity6 and @entity2316 had undergone SPK from a cadaveric donor. One year later, she was admitted to our hospital for severe lower @entity490 with preshock status. She was immediately examined by abdominal computed tomography and both peripancreas graft fluid accumulation and severe dilatation of the ileum were detected. On emergency operation, two punched holes located at the graft duodenal side near the suture line and an obstruction of herniated bowel behind the graft pancreas were detected. These holes were repaired and the @entity547 was reduced. However, a control of the @entity1320 was very difficult despite intensive treatment with antibiotics and additional abdominal drainage. Finally, a graft pancreatectomy was unavoidably required. When complications, including symptomatic @entity1320 , require re-laparotomy after pancreas transplantation, the therapeutic focus should be switched from salvaging the graft to the preservation of life.
