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Ultrasound images obtained immediately post-pancreas transplant (a) demonstrate markedly elevated resistive indices and reversal of diastolic flow in the pancreatic graft. Based on these findings, the patient was taken back to the operating room and extensive graft venous thrombosis was identified on grayscale (b) and color Doppler (c) IOUS images (arrows). Vein graft thrombosis is the most common cause of pancreatic graft loss. IOUS, intraoperative ultrasound
