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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Istanbul Yeni Yuzyil Univ, Fac Med, Cardiovasc Surg Dept, Istanbul, TurkiyeIstanbul Yeni Yuzyil Univ, Fac Med, Cardiovasc Surg Dept, Istanbul, Turkiye
Mansuroglu, Denyan
Dogan, Ali
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Istanbul Yeni Yuzyil Univ, Gaziosmanpasa Hosp, Fac Med, Cardiol Dept, Istanbul, TurkiyeIstanbul Yeni Yuzyil Univ, Fac Med, Cardiovasc Surg Dept, Istanbul, Turkiye
Dogan, Ali
Konukoglu, Oguz
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Istanbul Yeni Yuzyil Univ, Fac Med, Cardiovasc Surg Dept, Istanbul, TurkiyeIstanbul Yeni Yuzyil Univ, Fac Med, Cardiovasc Surg Dept, Istanbul, Turkiye
Konukoglu, Oguz
Sever, Kenan
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Istanbul Yeni Yuzyil Univ, Fac Med, Cardiovasc Surg Dept, Istanbul, TurkiyeIstanbul Yeni Yuzyil Univ, Fac Med, Cardiovasc Surg Dept, Istanbul, Turkiye
Sever, Kenan
Balkanay, Mehmet
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Istanbul Yeni Yuzyil Univ, Fac Med, Cardiovasc Surg Dept, Istanbul, TurkiyeIstanbul Yeni Yuzyil Univ, Fac Med, Cardiovasc Surg Dept, Istanbul, Turkiye
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Post Grad Inst Med Educ & Res, Dept Renal Transplant Surg, Chandigarh 160012, IndiaPost Grad Inst Med Educ & Res, Dept Renal Transplant Surg, Chandigarh 160012, India
Kumar, Sunil
Singh, Sarbpreet
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Post Grad Inst Med Educ & Res, Dept Renal Transplant Surg, Chandigarh 160012, IndiaPost Grad Inst Med Educ & Res, Dept Renal Transplant Surg, Chandigarh 160012, India
Singh, Sarbpreet
Kenwar, Deepesh Benjamin
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Post Grad Inst Med Educ & Res, Dept Renal Transplant Surg, Chandigarh 160012, IndiaPost Grad Inst Med Educ & Res, Dept Renal Transplant Surg, Chandigarh 160012, India
Kenwar, Deepesh Benjamin
Rathi, Manish
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Post Grad Inst Med Educ & Res, Dept Nephrol, Chandigarh 160012, IndiaPost Grad Inst Med Educ & Res, Dept Renal Transplant Surg, Chandigarh 160012, India
Rathi, Manish
Bhadada, Sanjay
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Post Grad Inst Med Educ & Res, Dept Endocrinol, Chandigarh 160012, IndiaPost Grad Inst Med Educ & Res, Dept Renal Transplant Surg, Chandigarh 160012, India
Bhadada, Sanjay
Sharma, Ashish
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Post Grad Inst Med Educ & Res, Dept Renal Transplant Surg, Chandigarh 160012, IndiaPost Grad Inst Med Educ & Res, Dept Renal Transplant Surg, Chandigarh 160012, India
Sharma, Ashish
Gupta, Vikas
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Post Grad Inst Med Educ & Res, Dept Gen Surg, Chandigarh 160012, IndiaPost Grad Inst Med Educ & Res, Dept Renal Transplant Surg, Chandigarh 160012, India
Gupta, Vikas
Bhansali, Anil
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Post Grad Inst Med Educ & Res, Dept Endocrinol, Chandigarh 160012, IndiaPost Grad Inst Med Educ & Res, Dept Renal Transplant Surg, Chandigarh 160012, India
Bhansali, Anil
Lal, Anupam
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Post Grad Inst Med Educ & Res, Dept Radiodiag, Chandigarh 160012, IndiaPost Grad Inst Med Educ & Res, Dept Renal Transplant Surg, Chandigarh 160012, India
Lal, Anupam
Minz, Mukut
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Post Grad Inst Med Educ & Res, Dept Renal Transplant Surg, Chandigarh 160012, IndiaPost Grad Inst Med Educ & Res, Dept Renal Transplant Surg, Chandigarh 160012, India
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Univ Calif San Francisco, Dept Anesthesia & Perioperat Care, San Francisco, CA 94143 USAUniv Calif San Francisco, Dept Anesthesia & Perioperat Care, San Francisco, CA 94143 USA
Anderson, A.
Eilers, H.
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Univ Calif San Francisco, Dept Anesthesia & Perioperat Care, San Francisco, CA 94143 USAUniv Calif San Francisco, Dept Anesthesia & Perioperat Care, San Francisco, CA 94143 USA
Eilers, H.
Yost, C. Spencer
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Univ Calif San Francisco, Dept Anesthesia & Perioperat Care, San Francisco, CA 94143 USAUniv Calif San Francisco, Dept Anesthesia & Perioperat Care, San Francisco, CA 94143 USA