Case Report
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Transplant. Sep 18, 2025; 15(3): 101427
Published online Sep 18, 2025. doi: 10.5500/wjt.v15.i3.101427
Multivisceral transplantation as a rescue treatment for intestinal failure following pancreaticoduodenectomy: A case report
Wethit Dumronggittigule, Prawat Kositamongkol, Yongyut Sirivatanauksorn, Somchai Limsrichamrern, Prawej Mahawithitwong, Chutwichai Tovikkai, Pholasith Sangserestid, Charnwit Assawasirisin
Wethit Dumronggittigule, Prawat Kositamongkol, Yongyut Sirivatanauksorn, Somchai Limsrichamrern, Prawej Mahawithitwong, Chutwichai Tovikkai, Pholasith Sangserestid, Charnwit Assawasirisin, Department of Surgery, Faculty of Medicine Siriraj Hospital, Bangkok 10700, Thailand
Author contributions: Dumronggittigule W performed conceptualization, data collection, manuscript drafting, and critical revision; Kositamongkol P contributed to data collection, manuscript drafting, and critical revision; Sirivatanauksorn Y, Limsrichamrern S, Mahawithitwong P, Tovikkai C, Sangserestid P, and Assawasirisin C contributed to data collection and critically reviewed the manuscript for important intellectual content; all authors approved the final version of the paper prior to submission.
Informed consent statement: The patient gave her informed consent for the publication of this paper and its corresponding images.
Conflict-of-interest statement: The authors have no conflict of interest to declare.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Prawat Kositamongkol, MD, Assistant Professor, Department of Surgery, Faculty of Medicine Siriraj Hospital, 12th floor Siamindra Building, Bangkoknoi, Bangkok 10700, Thailand. prawat.kos@mahidol.ac.th
Received: September 13, 2024
Revised: January 29, 2025
Accepted: March 17, 2025
Published online: September 18, 2025
Processing time: 216 Days and 14.5 Hours
Core Tip

Core Tip: Herein, we report the case of a patient who developed intestinal failure due to short gut syndrome and complex enterocutaneous fistula after pancreaticoduodenectomy. This patient successfully underwent multi-visceral transplantation as a rescue treatment for this condition. We also described the challenges encountered in preparing the first intestinal transplant candidate in our country. To our knowledge, this is the first intestinal transplantation performed in Southeast Asia.