長期透析患者に対する脳死腎移植後に，急性膵炎から膵仮性嚢胞胃穿破を来した1例

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  • A case of pancreatic pseudocyst ruptured into the stomach after acute pancreatitis in a renal transplantation recipient from a brain-dead donor

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<p>Although a pancreatic pseudocyst following acute pancreatitis is infrequent after renal transplantation, it has been reported to become severe once occurred. We present a case of pancreatic pseudocyst ruptured into the stomach following acute pancreatitis in a renal transplantation recipient from a brain-dead donor after long-term hemodialysis.</p><p>In this case, a secondary hyperparathyroidism and pre-operative use of sodium valproate in addition to an administration of prednisolone were thought to be the cause of acute pancreatitis, and a pancreatic microcirculatory disorder due to Mönckeberg-type arteriosclerosis would lead to a rupture of pancreatic pseudocyst into the stomach.</p><p>It is important to diagnose early and to treat quickly a pancreatic pseudocyst ruptured into the stomach of a long-term dialyzed and transplanted patient.</p>

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  • 移植

    移植 53 (1), 51-56, 2018

    一般社団法人 日本移植学会

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