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Pseudoaneurysm of the Y‐graft/iliac artery anastomosis following pancreas transplantation: a case report and review of the literature
Author(s) -
Verni Michael P,
Leone John P,
DeRoover Arnaud
Publication year - 2001
Publication title -
clinical transplantation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.918
H-Index - 76
eISSN - 1399-0012
pISSN - 0902-0063
DOI - 10.1034/j.1399-0012.2001.150113.x
Subject(s) - medicine , pseudoaneurysm , surgery , anastomosis , transplantation , pancreas transplantation , pancreas , external iliac artery , complication , radiology , angiography , kidney transplantation
Transplant‐related aneurysms are an unusual complication following pancreas transplantation. We present a case of a pseudoaneurysm developing in a recipient 6 months after bladder‐drained pancreas transplantation. The pseudoaneurysm was incidentally found during ultrasonographic evaluation in preparation for a pancreas biopsy. Angiography demonstrated that the origin of the pseudoaneurysm was located near the base of the Y‐graft/iliac artery anastomosis. Surgical repair was performed using standard vascular techniques. The patient subsequently recovered without loss of graft exocrine or endocrine function. Review of the literature revealed that aneurysms of various types associated with pancreas transplantation have a high incidence of graft loss and contribute significantly to patient morbidity. However, with prompt diagnostic and surgical management, non‐infected pseudoaneurysms can be repaired without loss of pancreatic function.