Figure 1. CT scan of abdomen reveals peripancreatic fluid collections with involvement of the cecal pole, findings suggestive for pancreatitis around the transplant. The pancreas transplant in the right lower quadrant is surrounded by inflammation and two fluid density areas. The inflammatory changes extend into the cecal pole area and involve this bowel loop. The inflammatory changes also extend towards the bowel, close to the urinary bladder. There is no fatty plane between the urinary bladder and the pancreas transplant with inflammation. The findings were initially concerning for pancreatitis with graft rejection.