OBJECTIVE: Radiologic imaging of the allograft @entity384 is an uncommon multifactorial finding that is not well described. The purpose of this investigation is to determine the clinical correlation of this finding. DESIGN: Retrospective study. SETTING: University Hospital, USA. SUBJECTS: One hundred forty five simultaneous pancreas-kidney transplants have been performed for treatment of @entity6 and @entity454 between February 1993 and December 1999 at the University of Miami. MAIN OUTCOME MEASURES: In 5 recipients, the pancreatic duct was noted to be dilated by ultrasound 1-18 months post-transplant. RESULTS: In all 5 recipients a Foley catheter was placed as the first line of treatment. This reduced the size of the pancreatic duct in one @entity1 , who presented with normal serum amylase and lipase and @entity4854 . A pancreas biopsy done with Foley catheter in place showed @entity82 with no evidence of rejection. Four @entity1 with dilated pancreatic duct presented with increased serum amylase and lipase; however improvement of the @entity384 was seen only after anti-rejection therapy. One of the @entity1 developed recurrence of @entity384 and a video-urodynamic study subsequently demonstrated voiding with abdominal straining and no detrusor activity. He ultimately underwent enteric conversion with resolution of @entity384 . CONCLUSIONS: This infrequent complication of dilated transplant pancreatic duct could be multifactorial. It could suggest the diagnosis of @entity788 , which should resolve with @entity1494 . In fact, 1 @entity1 presented with @entity788 caused by external sphincter detrusor pseudodyssynergia. However, this ultrasound finding may also be associated with pancreas rejection (4/5 @entity1 ).

Allograft XXXX following bladder drained simultaneous pancreas-kidney transplantation: clinical significance.

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity788 :: ('MESH:D010190', 'Disease') :: ['reflux pancreatitis'] @entity82 :: ('MESH:D005355', 'Disease') :: ['fibrosis'] @entity6 :: ('MESH:D003920', 'Disease') :: ['type I diabetes mellitus'] @entity1494 :: ('MESH:D001745', 'Disease') :: ['bladder decompression'] @entity384 :: ('MESH:D002311', 'Disease') :: ['pancreatic duct dilatation'] @entity4854 :: ('MESH:D006943', 'Disease') :: ['hyperglycemia'] @entity454 :: ('MESH:D007676', 'Disease') :: ['end-stage renal disease']
@entity384 :: (MESH:D002311,Disease) :: ['pancreatic duct dilatation']
