Pancreatic Transplant Jejunitis Complication: A Case Report

Authors

  • Ishan Gupta Midwestern University Arizona College of Osteopathic Medicine Glendale, AZ
  • Zachary Schmidt Midwestern University Arizona College of Osteopathic Medicine Glendale, AZ
  • Evelyn Kue Midwestern University Arizona College of Osteopathic Medicine Glendale, AZ
  • Imtiaz Ahmed, MD Department of Radiology, HonorHealth Tempe Medical Center Tempe, AZ

DOI:

https://doi.org/10.3941/jrcr.%205644

Abstract

Background

Pancreas transplantation aims to achieve stable glycemic control, often leading to insulin independence, while improving quality of life and reducing secondary complications associated with diabetes. One of the most common surgical approaches to the transplant is with a segment of the donor duodenum followed by a side-to-side duodenojejunal anastomosis. Complications of the procedure exist and it is important to conduct a follow-up CT scan post-transplant, especially if the patient complains of abdominal pain. Jejunitis should be considered in the differentials and a CT scan can help aid in confirmatory diagnosis.

Case presentation

Patient X, a 36-year-old male, recently underwent a pancreas transplant. Postoperatively, he presented with abdominal pain, leading to a workup with CT imaging that revealed jejunitis (inflammation of the jejunum), a condition that may be related to his recent transplant surgery.

Conclusion

Jejunitis is a complication of pancreatic transplant that can be identified with a follow-up CT scan. It is imperative to conduct a follow-up CT scan in a pancreatic transplant patient with any abdominal complaints to rule out infection, inflammation, or bleeding. Jejunitis should be added to the list of possible differential diagnosis as its symptoms may mimic other post-transplant complications.

Keywords: Diabetes Mellitus Type 1 (DM Type 1), Pancreatitis, Transplant, Jejunum, computed tomography (CT) scan

Inflamed Jejunum Marked by red circle on axial CT images

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Published

2025-07-30

Issue

Vol. 19 No. 7 (2025)

Section

Gastrointestinal Radiology

License

Copyright (c) 2025 Journal of Radiology Case Reports

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