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Bladder to pancreas reflux after kidney and pancreas transplants.

A dual kidney-pancreas transplant, in a 25-year-old man, was evaluated by use of Tc-99m MAG 3. Both organs were noted on the perfusion phase, and pancreatic activity then faded. The kidney then emptied into the bladder. There was a sudden reflux of activity into the pancreatic ductal system, which then slowly drained. The patient rejected the pancreatic transplant.