2016 年 51 巻 6 号 p. 477-481
A 46-year-old male with a history of type 1 diabetes mellitus since he was 20 years old underwent a simultaneous pancreas and kidney transplantation. However, he required allograft pancreatectomy on day 2 after the transplantation as a result of venous thrombosis. One year later, he underwent pancreas retransplantation from a deceased donor. Because an intimal dissection of the right iliac artery was noted during the operation, he underwent surgical reconstruction of the external iliac artery with an e-PTFE graft. The postoperative clinical course was uneventful, and the pancreas graft functioned well. Candidates of pancreas and/or renal transplantation often have severe arteriosclerosis and vascular calcification. We must carefully select the position of anastomosis in the patient with severe arteriosclerosis, thus avoiding intraoperative arterial injuries.
