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Fig. 5A. —37-year-old man who developed severe lower abdominal pain, increase in serum amylase level and insulin requirement, and decrease in urinary amylase level within first week after kidney—pancreas transplantation. pancreatectomy revealed complete torsion of donor portal vein near anastomosis and parenchymal necrosis involving entire graft. Coronal source image from unenhanced breath-hold three-dimensional (3D) MR examination obtained on sixth day after transplantation shows pancreas transplant in right lower quadrant (between straight arrows) and renal transplant in left lower quadrant (curved arrow).

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