Journal List > J Korean Soc Transplant > v.23(3) > 1034298

J Korean Soc Transplant. 2009 Dec;23(3):257-260. Korean.
Published online December 31, 2009.  https://doi.org/10.4285/jkstn.2009.23.3.257
Copyright © 2009 The Korean Society for Transplantation
Acute Necrotizing Pancreatitis after Kidney Transplantation: A Case Report
Mi-Hyeong Kim, M.D., Jeong Kye Hwang, M.D., Yeong-cheol Yun, M.D., Sun Cheol Park, M.D., Ji Il Kim, M.D., Yung Kyung Yoo, M.D., Dong Goo Kim, M.D. and In Sung Moon, M.D.
Department of Surgery, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea.

Corresponding author (Email: cmckji@catholic.ac.kr )
Received September 07, 2009; Accepted October 13, 2009.

Abstract

Acute necrotizing pancreatitis after kidney transplantation is a rare, but serious complication. We report a case of patient who was developed acute pancreatitis after cadaveric kidney transplantation with several causative factors: viral infection (Cytomegalovirus, Varicella zoster virus), usage of immunosuppressant, gallbladder stones, and previous peritoneal dialysis history. Cytomegalovirus infection was suspected as major etiologic factor of this case, but other factors would have a complex effect on development of acute pancreatitis.

Keywords: Acute pancreatitis; Kidney transplantation; Cytomegalovirus infections; Immunosuppressive agents

Figures


Fig. 1
Linear brown-colored lesions appeared on right flank of the patient.
Click for larger image


Fig. 2
(A) Preoperative abdominal computed tomography showed multiple loculated fluid collections on peripancreatic area and root of inferior mesenteric artery (white arrows). (B) Postoperative abdominal computed tomography (POD #33) showed regression of size and numbers of fluid collection (white arrows).
Click for larger image

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