EURORAD ESR

Case 2624

Venous graft thrombosis in a case of pancreas transplantation

Author(s)
Pratali A, Cappelli C, Vagli P, Neri E, Bartolozzi C
 
Patient
female, 42 year(s)
 
 
  • Figure 1
    Pancreas transplantation with enteric-portal drainage technique.

    Schematic representation of the anastomoses in pancreatic transplantation with portal-enteric drainage. The portal vein of the transplanted pancreas (p) is connected to the recipient’s superior mesenteric vein...

     
    Area of Interest: unknown; Imaging Technique: Pancreas transplantation with enteric-portal drainage technique.;
     
     
  • Figure 2
    Multirow CT examination.
     

    The anastomosis between the donor’s portal vein (p) and the recipient’s superior mesenteric vein (m) is patent.

     
    Area of Interest: unknown; Imaging Technique: Multirow CT examination.;

    Partial thrombosis of the transplanted portal vein (p) is seen.

     
    Area of Interest: unknown; Imaging Technique: Multirow CT examination.;

    The partial thrombosis of the splenic vein (s) is seen while the mesenteric vein (m) of the transplanted pancreas is patent. The arterial anastomosis (a) with the right common iliac artery of the recipient is patent.

     
    Area of Interest: unknown; Imaging Technique: Multirow CT examination.;

    The splenic vein (s) is partially thrombosed also in its distal tract.

     
    Area of Interest: unknown; Imaging Technique: Multirow CT examination.;

    MPR demonstrates the presence of partial thrombosis along the entire splenic vein (s).

     
    Area of Interest: unknown; Imaging Technique: Multirow CT examination.;

    The partial thrombosis of the transplanted portal (p) and splenic (s) veins is visualized in this MIP reconstruction. It also shows the anatomic features of the arterial (a) and venous (v) anastomoses.

     
    Area of Interest: unknown; Imaging Technique: Multirow CT examination.;
     
     
  • Figure 3
    Multirow CT examination performed after heparin therapy.
     

    Complete thrombus dissolution can be appreciated at the level of the portal vein (p).

     
    Area of Interest: unknown; Imaging Technique: Multirow CT examination performed after heparin therapy.;

    The transplanted splenic vein (s) is patent. The vessel diameter is reduced compared to the previous CT examination (figure 2d).

     
    Area of Interest: unknown; Imaging Technique: Multirow CT examination performed after heparin therapy.;

    MPR image confirms the patency of the transplanted spleno-portal axis (s, p).

     
    Area of Interest: unknown; Imaging Technique: Multirow CT examination performed after heparin therapy.;
     
     
Schematic representation of the anastomoses in pancreatic transplantation with portal-enteric drainage. The portal vein of the transplanted pancreas (p) is connected to the recipient’s superior mesenteric vein (arrow), while the artery is anastomosed to the common iliac artery of the recipient. The exocrine pancreatic drainage takes place through the anastomosis between the transplanted duodenum (d) and small bowel loop of the recipient (l).
 
The anastomosis between the donor’s portal vein (p) and the recipient’s superior mesenteric vein (m) is patent.
 
Partial thrombosis of the transplanted portal vein (p) is seen.
 
The partial thrombosis of the splenic vein (s) is seen while the mesenteric vein (m) of the transplanted pancreas is patent. The arterial anastomosis (a) with the right common iliac artery of the recipient is patent.
 
The splenic vein (s) is partially thrombosed also in its distal tract.
 
MPR demonstrates the presence of partial thrombosis along the entire splenic vein (s).
 
The partial thrombosis of the transplanted portal (p) and splenic (s) veins is visualized in this MIP reconstruction. It also shows the anatomic features of the arterial (a) and venous (v) anastomoses.
 
Complete thrombus dissolution can be appreciated at the level of the portal vein (p).
 
The transplanted splenic vein (s) is patent. The vessel diameter is reduced compared to the previous CT examination (figure 2d).
 
MPR image confirms the patency of the transplanted spleno-portal axis (s, p).
 
 
 
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