Thrombosis of Mesenteric Vein Following Pancreas Transplant
Clinical details
44 year-old patient following a combined kidney/pancreas transplant. Post-operative functional disorder of the pancreas transplant. MRA for clarification of pancreas perfusion.
Summary of findings
The transplanted pancreas appears inhomogeneous hyperintense in the T2W sequence. Strong homogenous perfusion in the dynamic contrast agent enhanced procedure. In the steady-state phase partially free-floating, partially mural thrombus of the anastomosed mesenteric vein.
Diagnosis
Operatively confirmed thrombosis of the mesenteric vein anastomosed to the transplant.
Description of images
[1] Inhomogeneous, slight T2W hyperintense imaging of the transplanted pancreas (arrows).
[2] Thrombus of the mesenteric vein anastomosed to the transplant in late dynamic acquisition (arrows).
[3] The parietal thrombus can be clearly differentiated in the steady-state phase (arrows).
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