Zanotelli M L, Guerra E E, Costa L F, Vitola S P, Garcia V D, Cantisani G P
Departamento de Transplantes, Santa Casa de Porto Alegre, Brazil.
Transplant Proc. 1992 Jun;24(3):815-6.
A case of combined pancreaticoduodeno-renal transplant with good graft function was complicated by recurrent episodes of graft pancreatitis treated by vesical catheter drainage. Four months after transplantation, a fistula from the pancreatic body associated with ascitis was identified. Anastomosis between pancreatic fistula and an individualized jejunal loop was performed. The duodenocystostomy was not disconnected. A splint placed inside the wirsung was exteriorized percutaneously through the jejunal loop and removed 30 days after the operation. Both kidney and pancreas grafts are functioning normally 2 years after transplantation.
一例胰十二指肠-肾联合移植且移植物功能良好的患者，并发反复的移植物胰腺炎发作，通过膀胱导管引流进行治疗。移植后四个月，发现胰体部瘘合并腹水。进行了胰瘘与个体化空肠袢之间的吻合术。十二指肠囊肿造口术未断开。通过空肠袢经皮将置于胰管内的支架引出，并在术后30天取出。移植后2年，肾和胰腺移植物均功能正常。
