Case Report

Duodenal Graft Perforation after Simultaneous Pancreas-Kidney Transplantation

Table 1

Reported cases of donor duodenal perforation after pancreatic transplantation. Pancreatic graft preservation was possible in six patients, including our patient.

Case numberAuthor AgeGenderComplaintExocrine drainageCause of perforationInterval from surgery to perforationOperation

(1)Gruessner et al. [4]30MAbdominal painEntericRejection27 monthsGraft duodenectomy
(2)Schleibner et al. [5]33MAbdominal painBladderSimple ulcer5 monthsDirect closure
(3)Stephanian et al. [6]32FAbdominal painBladderCmv duodenitis18 monthsGraft duodenectomy
(4)Ester et al. [7]47FHematuriaBladderRejection1.5 monthsDirect closure
(5)Lee et al. [8]30FHematuriaBladderCMV duodenitis2 monthsGraft pancreatectomy
(6)Fumimoto et al. [9]37FAbdominal painEntericInternal hernia13 monthsGraft pancreatectomy
(7)Miyagi et al. [10]60MMelenaEntericRejection0.5 monthsGraft pancreatectomy
(8)Yamamoto et al. [11]45FAbdominal painEntericAvascular necrosis5 monthsDirect closure
(9)Present case45FAbdominal painEntericPressure necrosis0.5 monthsDirect closure