Spontaneous arterioenteric fistula after pancreas transplantation

Transplantation. 1997 Mar 27;63(6):903-4. doi: 10.1097/00007890-199703270-00018.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Anastomosis, Surgical
  • Diabetes Mellitus, Type 1 / surgery*
  • Diabetic Nephropathies / surgery
  • Duodenal Diseases / pathology*
  • Fibrosis
  • Fistula* / pathology
  • Graft Rejection / pathology
  • Humans
  • Iliac Artery / pathology*
  • Iliac Artery / surgery
  • Immunosuppression Therapy / methods
  • Jejunal Diseases / pathology*
  • Kidney Failure, Chronic / surgery
  • Kidney Transplantation
  • Male
  • Middle Aged
  • Pancreas Transplantation* / pathology
  • Portal Vein / surgery
  • Postoperative Complications*
  • Reoperation
  • Splenectomy