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Duodenal Graft Perforation after Simultaneous Pancreas-Kidney Transplantation

A 45-year-old woman with type 1 diabetes and chronic renal failure on dialysis underwent simultaneous pancreas-kidney transplantation from a brain dead donor. On postoperative day 15, acute generalized peritonitis was diagnosed and emergency laparotomy was performed. Perforation of the donor duodenu...

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Autores principales: Sannomiya, Akihito, Nakajima, Ichiro, Ogawa, Yuichi, Kai, Kotaro, Koyama, Ichiro, Fuchinoue, Shohei
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5396421/
https://www.ncbi.nlm.nih.gov/pubmed/28480091
http://dx.doi.org/10.1155/2017/5681251
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author Sannomiya, Akihito
Nakajima, Ichiro
Ogawa, Yuichi
Kai, Kotaro
Koyama, Ichiro
Fuchinoue, Shohei
author_facet Sannomiya, Akihito
Nakajima, Ichiro
Ogawa, Yuichi
Kai, Kotaro
Koyama, Ichiro
Fuchinoue, Shohei
author_sort Sannomiya, Akihito
collection PubMed
description A 45-year-old woman with type 1 diabetes and chronic renal failure on dialysis underwent simultaneous pancreas-kidney transplantation from a brain dead donor. On postoperative day 15, acute generalized peritonitis was diagnosed and emergency laparotomy was performed. Perforation of the donor duodenum was found, which had apparently resulted from duodenal compression by the tip of the intestinal fistula tube placed for decompression. The perforation was sutured and the intestinal fistula tube was exchanged. Following this, perforation repeatedly recurred at the same site and open repair at laparotomy was required a total of four times. The fourth operation involved both suturing the perforation and covering it with ileum, after which there was no further recurrence. The patient was discharged on posttransplantation day 219, with the pancreas and kidney grafts both functioning well. This report presents a rare complication of simultaneous pancreas-kidney transplantation.
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spelling pubmed-53964212017-05-07 Duodenal Graft Perforation after Simultaneous Pancreas-Kidney Transplantation Sannomiya, Akihito Nakajima, Ichiro Ogawa, Yuichi Kai, Kotaro Koyama, Ichiro Fuchinoue, Shohei Case Rep Transplant Case Report A 45-year-old woman with type 1 diabetes and chronic renal failure on dialysis underwent simultaneous pancreas-kidney transplantation from a brain dead donor. On postoperative day 15, acute generalized peritonitis was diagnosed and emergency laparotomy was performed. Perforation of the donor duodenum was found, which had apparently resulted from duodenal compression by the tip of the intestinal fistula tube placed for decompression. The perforation was sutured and the intestinal fistula tube was exchanged. Following this, perforation repeatedly recurred at the same site and open repair at laparotomy was required a total of four times. The fourth operation involved both suturing the perforation and covering it with ileum, after which there was no further recurrence. The patient was discharged on posttransplantation day 219, with the pancreas and kidney grafts both functioning well. This report presents a rare complication of simultaneous pancreas-kidney transplantation. Hindawi 2017 2017-04-05 /pmc/articles/PMC5396421/ /pubmed/28480091 http://dx.doi.org/10.1155/2017/5681251 Text en Copyright © 2017 Akihito Sannomiya et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Sannomiya, Akihito
Nakajima, Ichiro
Ogawa, Yuichi
Kai, Kotaro
Koyama, Ichiro
Fuchinoue, Shohei
Duodenal Graft Perforation after Simultaneous Pancreas-Kidney Transplantation
title Duodenal Graft Perforation after Simultaneous Pancreas-Kidney Transplantation
title_full Duodenal Graft Perforation after Simultaneous Pancreas-Kidney Transplantation
title_fullStr Duodenal Graft Perforation after Simultaneous Pancreas-Kidney Transplantation
title_full_unstemmed Duodenal Graft Perforation after Simultaneous Pancreas-Kidney Transplantation
title_short Duodenal Graft Perforation after Simultaneous Pancreas-Kidney Transplantation
title_sort duodenal graft perforation after simultaneous pancreas-kidney transplantation
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5396421/
https://www.ncbi.nlm.nih.gov/pubmed/28480091
http://dx.doi.org/10.1155/2017/5681251
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