Two-stage Enteric Exclusion to Salvage a Pancreas Transplant After an Early Post-transplant Leak.
Early technical complications after pancreas transplantation are almost always unsalvageable. The two most common complications are vascular thrombosis and duodenal anastomotic leaks. We present a case of a duodenal stump leak that led to a large abscess and severe sepsis. The pancreas was salvaged by repairing the leak and creating a proximal diverting ileostomy. Several months later, the ileostomy was reversed. This was done by creating a defunctionalized Roux limb to exclude the pancreas. The patient healed well and continued to enjoy excellent glucose control.
Published In/Presented At
Rofaiel, G., Pan, G., Martinez, E., Kim, R., & Campsen, J. (2019). Two-stage Enteric Exclusion to Salvage a Pancreas Transplant After an Early Post-transplant Leak. Cureus, 11(8), e5379. https://doi.org/10.7759/cureus.5379
Medicine and Health Sciences
Department of Surgery