Pancreatic transplant - Value of colour flow ultrasound-guided biopsy

The most reliable method of diagnosing pancreatic transplant rejection is by biopsy of the transplanted pancreas. This is commonly performed in the operating room with general anaesthesia with a cystoscopic-guided biopsy. However, we present a case where this method failed and instead we have performed a percutaneous colour flow ultrasound-guided biopsy using only local and intravenous anaesthesia. We show the advantage of this technique over previously described methods.