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Fig. 5B. —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 arterial phase of breath-hold 3D MR examination shows complete lack of parenchymal enhancement of pancreas transplant and corticomedullary phase enhancement of kidney transplant.

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