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Acute pancreatic graft fistula and peripancreatic fluid collection: demonstration by secretin-stimulated MRI |
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| Authors: | Saad Alkaade Rana Fattahi N Cem Balci E Isin Akduman Paul J Garvin Kian Ali Modanlou Frank R Burton |
| Institution: | aDepartment of Radiology, Saint Louis University Hospital, St Louis MO 63110, USA;bDivision of Gastroenterology, Department of Internal Medicine, Saint Louis University Hospital, St Louis MO 63110, USA;cDepartment of Transplant Surgery, Saint Louis University Hospital, St Louis MO 63110, USA |
| Abstract: | Peripancreatic fluid collections are among the common post pancreas transplant complications, which are mainly due to leakage from the anastomosis site to bowel and graft pancreatitis. Differentiation between these two entities is important because they are treated differently.In this case, secretin stimulated magnetic resonance cholangiopancreatography revealed gradual intraperitoneal fluid collection and accumulation of fluid in small bowel excluded leakage from the anastomosis of the pancreas to bowel and changed the management from surgery to medical treatment. |
| Keywords: | Pancreas transplant Secretin MRCP Pancreatitis Leak |
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