Pseudoaneurysms after pancreatic transplantation are an infrequent event. R
epair usually involves removal of the transplant. We describe a patient wit
h a pseudoaneurysm associated with pancreatic transplantation. The pseudoan
eurysm originated from the external iliac artery distal to the donor Y-graf
t anastomosis. Diagnosis was made by duplex ultrasound. Surgical repair was
effected through a retroperitoneal incision enabling vascular control. The
patient has done well postoperatively, and with 1-year follow-up, continue
s to have normal renal and pancreatic allograft function.