Fig. 12
From: Imaging of pancreas transplantation and its complications
A 30-year-old woman after SPK transplantation. a Abdominal ultrasound shows peri-pancreatic graft collections with a thick wall and echogenic content; b axial MDCT reveals multiple abscesses at the abdomen and pelvis, with extension to the abdominal wall. Ultrasound-percutaneous drainage was performed and chemical analysis of the fluid showed high amylase content, compatible with a pancreatic fistula. c A 3D-MPR MIP reconstructed from follow-up MDCT performed 3 days later, with introduction of iodinated contrast agent through the percutaneous drain (white asterisk), demonstrates the extension of intra-abdominal collection (black asterisk) and the fistulous tract to the abdominal wall (arrow). Contrast agent was also detected inside the uterine cavity (arrowhead) suggesting a fistula. Despite this complication, the pancreatic and renal grafts functioned normally