PDF
ePub
Citation
Print
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.
REFERENCES
1). Slaton JW, Howard JM, Selman SH. Massive necrotizing pancreatitis in an immunosuppressed renal transplant recipient (successful therapy). HPB Surg. 1993; 7:157–64.
2). Fernández-Cruz L, Targarona EM, Cugat E, Alcaraz A, Oppenheimer F. Acute pancreatitis after renal transplantation. Br J Surg. 1989; 76:1132–5.
3). Suh KS, Chung JK, Kim SJ, Kim ST. Acute pancreatitis after renal transplantation. J Korean Soc Transplant. 1991; 5:117–22.
4). Shin HS, Jung YS, Rim H, Chun BK. A case report of acute pancreatitis following kidney transplantation. J Korean Soc Transplant. 2005; 19:210–4.
5). Bruno MJ, van Westerloo DJ, van Dorp WT, Dekker W, Ferwerda J, Tytgat GN, et al. Acute pancreatitis in peritoneal dialysis and haemodialysis: risk, clinical course, outcome, and possible aetiology. Gut. 2000; 46:385–9.
6). Ogunseinde BA, Wimmers E, Washington B, Iyob M, Cropper T, Callender CO. A case of tacrolimus (FK506)- induced pancreatitis and fatality 2 years postcadaveric renal transplant. Transplantation. 2003; 76:448.
7). Reischig T, Bouda M, Opatrny K, Tesinsky P, Cepelak M, Duras P, et al. Management of acute necrotizing pancreatitis after renal transplantation. Transplant Proc. 2001; 33:2020–3.
8). Sinha S, Jha R, Lakhtakia S, Narayan G. Acute pancreatitis following kidney transplantation-role of viral infections. Clin Transplant. 2003; 17:32–6.
9). Siwach V, Bansal V, Kumar A, Rao Ch U, Sharma A, Minz M. Post-renal transplant azathioprine-induced pancreatitis. Nephrol Dial Transplant. 1999; 14:2495–8.
10). Slakey DP, Johnson CP, Cziperle DJ, Roza AM, Wittmann DH, Gray DW, et al. Management of severe pancreatitis in renal transplant recipients. Ann Surg. 1997; 225:217–22.
Fig. 2.
(A) Preoperative abdominal computed tomography showed multiple loculated fluid collec-tions 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 collec-tion (white arrows).
XML Download