J Korean Soc Transplant.  2009 Dec;23(3):257-260. 10.4285/jkstn.2009.23.3.257.

Acute Necrotizing Pancreatitis after Kidney Transplantation: A Case Report

• Kim MH
• Hwang JK
• Yun YC
• Park SC
• Kim JI
• Yoo YK
• Kim DG
• Moon IS

• KMID: 1819849
• DOI: http://doi.org/10.4285/jkstn.2009.23.3.257

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.

Keyword

Acute pancreatitis; Kidney transplantation; Cytomegalovirus infections; Immunosuppressive agents

MeSH Terms

Cadaver
Chickenpox
Cytomegalovirus Infections
Gallbladder
Herpes Zoster
Humans
Immunosuppressive Agents
Kidney
Kidney Transplantation
Pancreatitis
Pancreatitis, Acute Necrotizing
Peritoneal Dialysis
Immunosuppressive Agents

Figure

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  Fig. 1. Linear brown-colored lesions appeared on right flank of the patient.

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  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).

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