RESUMO
Simultaneous pancreatic-kidney transplantation is the definitive treatment for patients with type 1 diabetes mellitus and renal failure. Pancreatic graft failure is an important postoperative complication and most commonly occurs as a result of pancreatitis, graft thrombosis or rejection. Distinguishing between these causes is necessary to determine timely, appropriate management and thereby potentially minimising graft loss. Multi-detector CT imaging may be used to identify the cause of pancreatic graft dysfunction when renal function is not markedly impaired.
Assuntos
Rejeição de Enxerto/diagnóstico por imagem , Rejeição de Enxerto/etiologia , Transplante de Rim/efeitos adversos , Transplante de Rim/diagnóstico por imagem , Transplante de Pâncreas/diagnóstico por imagem , Pancreatite/diagnóstico por imagem , Pancreatite/etiologia , Angiografia/métodos , Diagnóstico Diferencial , Humanos , Transplante de Pâncreas/efeitos adversos , Tomografia Computadorizada por Raios X/métodosRESUMO
High-flow priapism is uncommon particularly in children. While it is a non-emergent condition, delayed management may result in secondary vascular deformities. Embolisation is not commonly offered as first-line management because of the risk of potentially severe ramifications regarding sexual function, particularly with cases of bilateral penile arteriolacunar fistulae. We demonstrate successful application of superselective embolisation technique using absorbable material with no long-term adverse effect on erectile function.