Gastric Outlet Obtruction by a Donor Aortic Tube After En Bloc Liver Pancreas Transplantation : A Case Report

We present the case of a 30-years-old female suffering from a type five maturity onset diabetes of the young deficiency, resulting in type 1 diabetes and terminal renal inssufficiency. She also had chronic and refractory pruritis due to primary sclerosing cholangitis _like fibrosis. She underwent combined en bloc liver and pancreas transplantation and kidney transplantation.The postoperative course was complicated by a gastric outlet obstruction due to compression of the native gastroduodenal junction by the donor aortic tube . This was treated by construction of a roux-en-y gastrojejunostomy at posttransplant day 24. To our knowledge, compression of the gastroduodenal junction by a donor aortic tube after combined liver and pancreas (or multivisceral) transplantation has not been reported previously.