Pancreas retransplantation has become more frequent and represents a technical challenge for surgeons. Knowledge of alternative surgical options could be useful in difficult cases. We present a case of brutal diabetes mellitus in a patient with severe vascular disease that underwent a third pancreas transplant. Difficulties in obtaining arterial inflow were solved utilizing the native splenic vessels, placing the graft in orthotopic position, and a combination of historical surgical techniques in pancreas transplantation; that is, segmental grafts and duct injection for exocrine management made transplantation successful.
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Univ Wisconsin, Dept Human Oncol, Sch Med & Publ Hlth, Madison, WI 53706 USAUniv Wisconsin, Dept Human Oncol, Sch Med & Publ Hlth, Madison, WI 53706 USA
Morris, Brett A.
Alfson, Alyx
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Univ Wisconsin, Dept Human Oncol, Sch Med & Publ Hlth, Madison, WI 53706 USAUniv Wisconsin, Dept Human Oncol, Sch Med & Publ Hlth, Madison, WI 53706 USA
Alfson, Alyx
Davies, Gemma
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Univ Wisconsin, Dept Human Oncol, Sch Med & Publ Hlth, Madison, WI 53706 USAUniv Wisconsin, Dept Human Oncol, Sch Med & Publ Hlth, Madison, WI 53706 USA
Davies, Gemma
Kaufman, Dixon
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Univ Wisconsin, Dept Surg, Sch Med & Publ Hlth, Madison, WI USAUniv Wisconsin, Dept Human Oncol, Sch Med & Publ Hlth, Madison, WI 53706 USA
Kaufman, Dixon
Bradley, Kristin A.
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Univ Wisconsin, Dept Human Oncol, Sch Med & Publ Hlth, Madison, WI 53706 USAUniv Wisconsin, Dept Human Oncol, Sch Med & Publ Hlth, Madison, WI 53706 USA